Can an umbilical hernia be massaged back into the abdominal cavity?

Written by Zhang Peng
General Surgery
Updated on September 25, 2024
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Umbilical hernias can be massaged back into the abdominal cavity, but if the hernia suddenly becomes hard, or increases in size significantly and cannot be reduced promptly, careful observation is needed to determine if incarceration has occurred. If incarceration persists for too long, it might lead to intestinal necrosis or rupture. Generally, umbilical hernias can self-heal within six months through conservative treatment. If the diameter of the umbilical ring still exceeds 1.5 centimeters after the age of two, it is advised to opt for surgical treatment. For patients over five years old, surgery is recommended under any circumstances. In conservative treatment of umbilical hernias, the most common method involves using an object larger than the umbilical ring, such as a coin or cardboard, wrapped and fixed to the umbilical area, then secured with adhesive tape to prevent movement. Generally, this treatment method is quite effective.

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Written by He Zong Quan
General Surgery
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What does it look like after an umbilical hernia is healed?

After umbilical hernia occurs, if it is cured and the wound heals, there is no difference from normal. There will be no lumps protruding from the abdominal wall. In principle, surgical treatment is often required after umbilical hernia occurs, as the likelihood of natural healing is small. The surgery mainly involves a tension-free umbilical hernia repair, which includes suturing the hernia ring and generally reinforcing it externally to ensure that the hernia does not recur. After the umbilical hernia is cured, the patient's navel will be flat with no protruding lumps, and there will be no incarceration of the hernia or compression of the intestines, which could cause gastrointestinal symptoms.

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Written by Zhang Xian Hua
Pediatrics
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How to relieve infant umbilical hernia

Infant umbilical hernia is caused by incomplete development of the abdominal wall at the navel, resulting in a protrusion at the umbilicus. To alleviate this, it is important to prevent the child from crying excessively and avoid gastrointestinal infections. Digestive issues should be treated promptly, as these conditions can increase abdominal pressure and make the protrusion at the umbilicus more pronounced. Other than these precautions, special treatment is generally not required. Typically, an umbilical hernia will narrow and may even close naturally as the child ages. About 80% of children see improvement by the age of two without needing treatment. However, if the hernia has not closed by two years of age, or if the diameter of the hernia ring is greater than 2 centimeters, surgery may be required to resolve it.

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Written by Zhang Xian Hua
Pediatrics
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Treatment methods for infant umbilical hernia

Infant umbilical hernia is caused by a congenital weak abdominal wall around the navel, leading to protrusion. It generally does not require special treatment methods. As long as care is taken to avoid the child's intense or prolonged crying, actively treat gastrointestinal diseases to prevent increased abdominal pressure that could lead to protrusion, no special treatment is usually necessary. This is because 80% of children with umbilical hernias will see their hernia rings gradually shrink or even close as they grow older, typically by the age of two. Surgical treatment might only be needed if the hernia ring is very large, such as more than two centimeters in diameter, or if the obvious umbilical hernia persists after the age of two.

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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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What will happen if an umbilical hernia is not treated?

If umbilical hernia is not treated, in general, adults are more likely to experience incarceration or strangulation. For children with umbilical hernias, conservative observation is usually adopted, and surgery is not necessary within the first two years unless incarceration occurs. During the waiting period, adhesive tape fixation can be used as a treatment method. If the umbilical hernia is larger than two weeks, and the diameter of the umbilical ring is generally more than 1.5 cm, surgical treatment is required. For children over five years old, regardless of the situation, it is advisable to undergo timely surgery. Adults with umbilical hernias are generally advised to have surgery as soon as possible. The surgical methods typically include traditional tissue repair or open tension-free hernia repair. For patients suitable for laparoscopic treatment, laparoscopic surgery is chosen as it causes less trauma and allows for the preservation of the umbilicus without extensive dissection, no need for drainage placement, and a very low chance of wound infection.