Umbilical hernia

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Written by Zhang Peng
General Surgery
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Can an umbilical hernia cause a baby to cry?

Umbilical hernia can cause babies to cry because it might lead to incarceration, although the chance of this occurring is generally low. It is more likely to happen when there's a sudden increase in abdominal pressure in children. In cases of incarceration, if it involves the small intestine, it can cause the child to experience abdominal pain, bloating, constipation, etc. Therefore, the baby may cry. Crying might also aggravate the incidence of incarceration. So, for umbilical hernias with noticeable protrusion, it is important to soothe the patient promptly and avoid vigorous activities. One can use a coin or cardboard larger than the umbilical ring, cover it, hold it against the ring and secure it with adhesive tape to prevent it from moving and the hernia from protruding. This method can generally be used until the child is two years old, because umbilical hernias in children can heal by themselves before this age. If the umbilical ring is still relatively large after two years, timely surgical treatment should be considered.

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Written by Zhang Peng
General Surgery
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Will an umbilical hernia hurt?

Umbilical hernia can cause pain, especially during incarceration and strangulation. Generally, umbilical hernias are caused by factors such as pregnancy, excessive omental fat, chronic coughing, and severe constipation. A sudden increase in abdominal pressure may lead to the incarceration of the omentum or intestines, causing significant pain and hardening of the hernial mass. In such cases, emergency surgery may be necessary. For adults, traditional tissue repair or open tension-free hernia repair is generally chosen, while minimally invasive treatment options may be selected for specific groups. In children, umbilical hernias are typically observed conservatively, and if the umbilical ring remains larger than 1.5cm after the age of two, surgery should be considered.

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Written by Zhang Xian Hua
Pediatrics
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How many months can an infant umbilical hernia heal?

Umbilical hernia in infants is caused by congenital development of the umbilical area and weak abdominal muscles, leading to protrusion of the umbilicus. This protrusion is more likely to occur when the child cries intensely, has digestive issues, or experiences increased pressure in the gastrointestinal tract. The majority of umbilical hernias heal on their own as the child ages; small hernial rings may heal within a few months, and about 80% of slightly larger hernias heal by the age of two. However, a small number of children with umbilical hernias, especially those with a hernial ring diameter greater than 2 cm, usually cannot heal on their own. Generally, if a noticeable umbilical hernia still exists after the age of two, surgical treatment may be necessary, though no special treatment is typically needed before that.

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Written by Zhang Xian Hua
Pediatrics
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Can an infant umbilical hernia cause crying?

Infant umbilical hernia is caused by a congenital weakness in the umbilicus, usually manifesting as an umbilical bulge during increased abdominal pressure. Generally, an umbilical hernia does not cause children to cry. However, if the hernia ring is relatively large, and abdominal structures such as the greater omentum or small intestine protrude through it, incarceration can occur, leading to abdominal discomfort and crying in the child. In such cases, carefully pushing the hernia back in is usually sufficient. Umbilical hernias typically do not require special treatment; it is only necessary to prevent prolonged intense crying in children and to actively prevent and treat indigestive diseases. Generally, as the child grows older and their physique strengthens, the hernia ring narrows and may even close naturally. Only a small number of babies, if the hernia ring diameter is larger than 2 cm, or if there is a noticeable umbilical hernia after the age of two, might experience discomfort requiring surgical treatment.

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Written by Zeng Hai Jiang
Pediatrics
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What should be paid attention to after umbilical hernia surgery?

Umbilical hernia refers to the protrusion of abdominal contents through the umbilical ring. Mostly seen in infants and young children, a majority of umbilical hernias can gradually heal through the contraction of the umbilical fascial ring. Therefore, before the age of two, except in cases of incarcerated hernias, most are treated non-surgically to promote healing. If the child is over two years old and the diameter of the hernia exceeds 1.5 cm, surgical treatment is adopted. After surgery, it is necessary to persist with abdominal muscle exercises to increase the child's resistance, prevent an increase in intra-abdominal pressure, reduce the recurrence of infantile umbilical hernias, and in terms of diet, it is advisable to avoid foods that might cause constipation.

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Written by Zhang Xian Hua
Pediatrics
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Is an umbilical hernia in infants serious?

Infant umbilical hernia is caused by a weak abdominal wall around the navel, which is underdeveloped, leading to protrusion. This is prone to happen when intra-abdominal pressure is high. Therefore, it's usually sufficient to avoid intense crying in children and actively treat gastrointestinal diseases without special treatment. This is because 80% of infants will naturally see the hernia ring narrow, or even close by itself by the age of two, leading to healing. Only a few children, if the hernia ring diameter is large, more than 2 cm, or if the umbilical hernia is still evident after the child turns two, will require surgical treatment.

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Written by Zhang Xian Hua
Pediatrics
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What are good remedies for infant umbilical hernia?

Umbilical hernia in infants is caused by congenital underdevelopment of the abdominal muscles, forming a bulge beneath the skin due to abdominal distension protruding from the umbilicus. In fact, it usually does not require special treatment. Most umbilical hernias will gradually narrow and shrink within the first year after birth as the infant's nutrition and physique improve and the abdominal muscles develop, typically leading to natural closure with a very good prognosis. In daily care, it is important to prevent the child from crying loudly, especially when the child has gastrointestinal diseases and increased intestinal gas, which should be actively treated to minimize the herniation and to reduce it back when it does protrude. With such care, the chances of natural healing increase. However, if the child is over four years old and the hernia sac is still relatively large, surgical repair might be necessary.

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Written by Zhang Peng
General Surgery
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Is hot compress useful for umbilical hernia?

In cases of umbilical hernia, applying heat generally has no effect. For infants, it is often acceptable to observe conservatively until the child is about two years old. Adhesive tape therapy can be used in this period. By the age of two, the umbilical ring in most children will close on its own. For those over two years old with an umbilical ring diameter still greater than 1.5 cm, surgery should be considered. For patients over five years old, it is generally recommended to undergo surgery sooner rather than later. In adults, the causes of umbilical hernias are mainly due to factors such as pregnancy, excessive fat in the greater omentum, chronic coughing, cirrhosis with ascites, etc., which increase abdominal pressure. Incarceration can occur, involving either the greater omentum or the small intestine, and surgery is usually the chosen treatment method, either through traditional tissue repair techniques or open tension-free hernia repair. In some cases, laparoscopic umbilical hernia repair may be chosen when necessary.

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Written by Zhang Xian Hua
Pediatrics
38sec home-news-image

Does infant umbilical hernia require surgery?

If an infant's umbilical hernia still shows obvious protrusion after two years of age, surgery is required. Another scenario that necessitates surgery is if the diameter of the hernia ring of the infant's umbilical hernia is relatively large, such as more than 2cm, as generally, it cannot heal by itself. However, over 80% of infant umbilical hernias do not require special treatment or surgery. As age increases and nutrition is maintained, the subcutaneous tissues around the abdominal wall's umbilical hernia ring can repair and narrow, leading to healing.

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Written by Zhang Peng
General Surgery
1min 6sec home-news-image

How is umbilical hernia treated?

In treating umbilical hernias, we need to consider both the age of the patient and the size of the hernia specifically caused. Generally, children under the age of two do not require surgery. Typically, we consider using a coin or cardboard larger than the umbilical ring, wrapping it up, pressing against the umbilical ring, and securing it with adhesive tape to prevent movement. Most can close by themselves and heal. For children over two years old, if the hernia is still larger than 1.5cm, surgical treatment should be considered. In adults, traditional tissue repair methods are generally used, or an open umbilical hernia tension-free repair. The repair can be placed in front of the muscle or can use a hernia ring filling method. For most patients, if there is an opportunity for minimally invasive treatment, laparoscopic umbilical hernia repair can be selected. This method generally involves a smaller incision and can preserve the navel, reducing the chance of incision infection, and is particularly suitable for obese patients.