Can sheath effusion be treated with an umbilical hernia belt?

Written by Na Hong Wei
Orthopedics
Updated on September 01, 2024
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Can a hernia belt be used for hydrocele? Basically, a hernia belt is of no use for hydrocele. First, you need to understand the difference between hydrocele and hernia. What is a hernia? A hernia occurs when there's a hole in the groin area through which abdominal organs such as the omentum, intestines, and abdominal fluids can leak into the scrotum. By simply covering this hole, the descent of these abdominal contents can be prevented, which is the function of a hernia belt. What about hydrocele? It occurs when the processus vaginalis does not close properly or at all. Usually, it's still small enough that only abdominal fluids can leak into the scrotum, but larger organs like the intestines cannot descend. Therefore, using a hernia belt is ineffective for a hydrocele because there's no hole in the groin area that needs covering or blocking. Hence, a hernia belt is useless for hydrocele.

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Written by Zhang Peng
General Surgery
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The difference between umbilical hernia and umbilical protrusion

Umbilical hernia refers to a condition in children where the umbilical ring does not close during development, causing a defect in the abdominal wall. This situation can be treated conservatively. Within half a year, the effects are generally good. You can choose a coin larger than the umbilical ring or cover it with a flat board, press it against the umbilical ring, and then use adhesive tape to fix it to prevent movement. Generally, most patients can heal on their own. If the diameter of the umbilical ring still exceeds 1.5 cm after two years old, it is advisable to actively accept surgical treatment. Moreover, the protrusion may not involve a defect in the abdominal wall but a potential weakness in the abdominal wall at the navel. Under conditions of increased abdominal pressure, there can be a protruding appearance at the navel. The biggest difference from an umbilical hernia might be that the umbilical protrusion might present a lump that does not completely disappear. In the case of an umbilical hernia, if the contents can be returned to the abdominal cavity, the hernia can disappear completely.

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Written by Zeng Hai Jiang
Pediatrics
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How does an umbilical hernia gradually improve?

Umbilical hernia refers to a protrusion formed by abdominal contents through the weak area of the umbilicus. After the umbilical cord falls off in the neonatal period, the umbilical scar area, due to the phase when the umbilical cord passes through the abdominal wall during fetal life, creates a congenital separation in the abdominal wall. In infancy, the abdominal muscles on either side do not completely close at the midline, leaving a defect and forming the umbilical ring. When crying, coughing, or struggling increases intra-abdominal pressure, the abdominal contents gradually push outwards through the umbilicus, forming an umbilical hernia. Most umbilical hernias can heal on their own within one year through the contraction of the umbilical fascial ring. Therefore, unless incarceration occurs, observation and waiting with non-surgical treatment can be adopted to promote healing before the age of two.

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Written by Zhang Ai Min
Pediatrics
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Symptoms of infant umbilical hernia

Infant umbilical hernia refers to a large protrusion at the navel of an infant, generally composed of the remaining umbilical cord and a part of the intestine. Typically, if the protrusion is not very large, such as less than one centimeter, it usually does not include the intestines. However, if it is particularly noticeable and large, there might be protrusion of the intestines, hence the area may feel bloated when touched. An infant umbilical hernia may cause localized accumulation of the intestines, and some children might cry and show signs of pain while feeding. However, generally speaking, most umbilical hernias do not have obvious symptoms, and there is no need for excessive worry. As the child ages, there is a possibility of improvement, and the hernia might heal on its own.

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Written by Zhang Peng
General Surgery
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Can you run with an umbilical hernia?

Patients with umbilical hernias are generally advised against engaging in vigorous activities such as running and jumping. This is because an umbilical hernia is a type of hernia that can lead to incarceration or even rupture due to sudden increases in abdominal pressure, which would require emergency surgery. For umbilical hernias, conservative treatment is mostly adopted. Typically, affected children can self-heal within six months through conservative treatment. However, if the condition persists beyond the age of two and the diameter of the umbilical ring is still greater than 1.5 cm, surgical treatment is recommended. If the patient is over the age of five, it is advised to undergo surgery as soon as possible, regardless of the circumstances. Both before and after the surgery for an umbilical hernia, vigorous activities are not recommended. Intense activities increase abdominal pressure, which on one hand can lead to complications like incarceration, and on the other hand, can affect the outcome of the surgical treatment.

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Written by Zeng Hai Jiang
Pediatrics
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Should the umbilical hernia belt be worn for 24 hours?

Umbilical hernia refers to the protrusion formed by the contents of the abdominal cavity through the umbilical ring, commonly seen in infants and young children. When the affected child cries, coughs, or struggles, the increase in abdominal pressure can easily lead to an umbilical hernia. The purpose of an umbilical hernia belt is to apply a certain amount of pressure around the navel area to prevent the occurrence of an umbilical hernia. In principle, the umbilical hernia belt should be worn 24 hours a day, except during special times such as bathing. When using the umbilical hernia belt, it is also important to adjust the appropriate tightness to avoid being too tight, which affects the child's comfort, or too loose, which fails to compress the hernial ring effectively. Additionally, attention must be paid to avoiding the incarceration of the hernia contents.