Fig. 3

Hernia of the umbilical cord (HUC) with irreducibility due to A adhesions fixing Meckel’s diverticulum and adjacent ilium to hernial sac, needed release of the adhesions and excision of Meckel’s diverticulum. B Fibrous adhesive bands in the sac intermingling loops of ilium preventing the loops to be reduced, needed surgical interventions (release the adhesive bands). C Ileal loops trapped in the sac by peritoneal septum at umbilical ring (adhering to narrow ring), needed exploration of the sac and dilatation of sac neck and reduction of content, repair, and umbilicoplasty. D Sliding hernia where loops of ilium forming the sac wall needed to be dissected from the sac to be reduced