Is an enlarging umbilical hernia dangerous?

Written by Zhang Peng
General Surgery
Updated on September 23, 2024
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Umbilical hernia is not more dangerous as it gets larger; rather, the larger the umbilical hernia, the less likely it is to heal on its own. During the observation of an umbilical hernia, we need to be vigilant about the possibility of incarceration or rupture. This condition arises because the umbilical ring does not heal and close properly, typically presenting as a raised lump at the navel, which can recede on its own or disappear. Generally, umbilical hernias can heal on their own within the first six months with proper treatment. However, if the diameter of the umbilical ring exceeds 1.5 cm after the age of two, surgical treatment is required. In any case, if the patient is over the age of five and the hernia is still present, surgery is the chosen treatment. In treating umbilical hernias, our conservative approach involves using a coin or a flat board larger than the umbilical ring, wrapping it, and securing it at the umbilical area with adhesive tape to prevent movement, which generally produces good results.

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Written by Yao Li Qin
Pediatrics
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Can umbilical hernia be vaccinated against?

After the birth of a child, it is necessary to vaccinate on schedule. There are some situations where vaccination is not possible. When a child has an umbilical hernia, it means that there is a protrusion at the navel, with abdominal contents pushing through a weak spot around the navel, forming an umbilical hernia. Umbilical hernias in children do not affect the vaccination of various vaccines, so parents can take their children to the local vaccination department to get vaccinated on schedule. At the same time, try to avoid letting the child cry loudly, as most umbilical hernias in children can heal by themselves within two years. Only more severe umbilical hernias may require surgical treatment. Therefore, parents can rest assured and take their children for vaccinations on time, as the umbilical hernia does not affect vaccination.

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Written by Dong Xian Yan
Pediatrics
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Does umbilical hernia have any sequelae?

In most cases, children with umbilical hernias can be cured without any sequelae. However, if the umbilical hernia becomes incarcerated, leading to severe complications such as bowel necrosis, there may be sequelae of adhesive intestinal obstruction after surgical treatment. Umbilical hernia is due to the non-closure of the umbilical ring and weak abdominal muscles in children, which can easily lead to the protrusion of the intestines and mesentery through the umbilical ring when intra-abdominal pressure increases. As children grow older, most can heal on their own within one year. If it does not close after one year or if incarceration occurs, surgical treatment is required.

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Written by Yan Xin Liang
Pediatrics
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What should I do about my baby's umbilical hernia?

If your baby has an umbilical hernia, there is no need to panic. Generally speaking, this hernia occurs because the area around the baby's navel is not fully developed, leading to the hernia. It usually becomes more noticeable after crying - clearly protruding, but it can retract after resting. Typically, between one to two years old, the hernia may resolve by itself, so there's no need for special treatment. If you feel compelled to do something, you can buy a belt at a maternity and baby store and place a coin or another hard, flat object beneath it to press down on the navel, which can help the hernia repair sooner. However, if the hernia is large and still protrudes noticeably after the age of two, surgical intervention might be necessary.

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Written by Zhang Xian Hua
Pediatrics
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Does infant umbilical hernia need to be treated?

Over 80% of infant umbilical hernias can heal before the age of two because, as the child grows older, the abdominal muscles gradually develop. The umbilical ring often progressively narrows and closes, so no treatment is actually needed. However, it is usually advisable to prevent the child from crying excessively and to treat any gastroenteric colds and indigestion actively and effectively, to avoid repetitive protrusion of the hernia. If the child still has a noticeable umbilical hernia after the age of two, or if the diameter of the hernia ring exceeds 2cm, it is usually difficult to heal naturally. Surgery might be required, typically involving the removal of the hernia sac and repair of the abdominal wall defect.

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Written by Zhang Peng
General Surgery
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Is umbilical hernia hereditary?

Umbilical hernia is not a hereditary disease and generally does not occur genetically. Umbilical hernia is due to the incomplete healing of the umbilical ring, causing the abdominal organs to protrude through the umbilical ring, and is a congenital disease. Developmental inadequacies of the navel, or the presence of scar tissue, thinness, and lack of toughness in the navel area can lead to this condition when abdominal pressure increases. In general, children with an umbilical hernia may show discomfort, which can manifest as frequent crying or constipation. For most cases of umbilical hernia, conservative treatment is an option. In children under two years old, surgery can be avoided by using adhesive tape treatment, which can achieve very good therapeutic effects. If the diameter of the umbilical ring is still greater than 1.5 cm after the age of two, timely surgery is necessary. For adults with umbilical hernia, incarceration and strangulation are common, and surgery is recommended as soon as a clear diagnosis is made.