How is umbilical hernia treated?

Written by Zhang Peng
General Surgery
Updated on December 24, 2024
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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.

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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 Xian Hua
Pediatrics
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Will infant umbilical hernia gradually improve?

Umbilical hernias in infants are very likely to heal naturally, as more than 80% of infantile umbilical hernias will gradually reduce in size and possibly even close as the child grows older and their physique develops. Normally, it is only necessary to ensure that the child does not cry intensely for long periods, to promptly treat any digestive system disorders in the child to prevent increased abdominal pressure which can cause frequent protrusion of the hernia and affect its healing. Only a small portion of children require surgical treatment, usually those with a relatively large hernia ring diameter, especially those larger than 2 cm, and children over two years old who still have a very obvious umbilical hernia.

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Written by Zhang Peng
General Surgery
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How long will it take for an umbilical hernia to heal?

Umbilical hernia can heal on its own, generally, if the appropriate treatment method is chosen, most umbilical hernias can heal within six months. For children over two years old, if the umbilical hernia has not healed and the diameter of the umbilical ring exceeds 1.5 cm, active surgical treatment is also chosen. For children over five years old, surgical treatment is recommended regardless of the situation. Umbilical hernia occurs because the umbilical ring does not close in time during the child's development, causing the abdomen to protrude. The common treatment method is to choose a coin or cardboard larger than the umbilical ring, wrap it up, press against the umbilical ring, and fix it with adhesive tape to prevent it from moving. This treatment method generally works well and can avoid surgery. However, during the observation process, it is necessary to avoid the occurrence of incarceration or rupture of the hernia.

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Written by Zhang Peng
General Surgery
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Will an umbilical hernia get bigger as it grows?

Umbilical hernias may increase in size, particularly in middle-aged, obese women who have been pregnant multiple times, have excessive fat in the greater omentum during pregnancy, or have chronic conditions such as persistent coughs, which can cause continuous increased pressure in the abdominal cavity. This may lead to the gradual enlargement of the hernia sac in an umbilical hernia, and it is very prone to becoming incarcerated. The contents of the incarceration might include the greater omentum or the intestines, particularly the small intestine. Once incarceration and strangulation occur, it is generally recommended that adults with umbilical hernias undergo surgery as soon as possible, with emergency surgical treatment needed in cases of incarceration. Traditional surgical methods include tissue suture repair or open umbilical hernia tension-free repair. If a minimally invasive option is available, it is generally less traumatic and particularly suitable for obese patients.

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Written by Liu Li
Pediatrics
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Can an umbilical hernia cause colic in babies?

In general normal circumstances, children with umbilical hernias are unlikely to experience symptoms of intestinal colic. This is because the protrusion from the umbilical hernia is not very large, so the likelihood of causing intestinal colic is very low. Parents should not be overly worried about umbilical hernias causing intestinal colic. However, in some cases where the symptoms of umbilical hernia in babies are more noticeable, it is still necessary to seek active and timely treatment. A color Doppler ultrasound or a routine blood test can be conducted. Conservative treatment can also be considered; if conservative treatment is not very effective, then surgical treatment may be considered.