Minimally invasive umbilical hernia surgery takes how long?

Written by Zhang Peng
General Surgery
Updated on June 30, 2025
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The specific duration of minimally invasive umbilical hernia surgery depends on the actual findings during the exploration. For instance, whether there are severe adhesions inside the patient's abdominal cavity and if there are any associated injuries to the internal organs during the surgery. In most cases, if everything goes smoothly, the surgery can be completed in about two hours. Generally, minimally invasive treatment methods such as intraperitoneal mesh repair are used, typically choosing an anti-adhesion patch. Laparoscopic repair causes even less trauma and allows for the preservation of the umbilicus without the need for extensive dissection. The chances of infection at the surgical site are very low post-surgery, and there is usually no need for drainage, making it particularly suitable for obese patients. Umbilical hernia repairs are generally recommended to be performed as soon as possible once diagnosed in adults, because umbilical hernias can become incarcerated or strangulated.

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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 Zhang Xian Hua
Pediatrics
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How long does it take for an infant umbilical hernia to heal?

Infant umbilical hernia is caused by congenital weakness of the umbilical and abdominal regions, resulting in protrusion of the navel. Generally, it does not require special treatment. This is because up to 80% of infant umbilical hernias will gradually decrease in size as the child ages and physically develops, and the hernial ring may even close, thereby healing naturally. Surgery is usually chosen only if the diameter of the hernia ring is too large, especially if it is more than 2 cm, or if the child is over two years old and still has a noticeable umbilical hernia. Before this, it is usually advisable to avoid situations that could increase abdominal pressure in the child, such as preventing prolonged and intense crying. If the child has gastrointestinal symptoms, they should be treated promptly and actively to prevent repeated protrusion of the umbilical hernia.

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Written by Zhang Xian Hua
Pediatrics
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When does an infant's umbilical hernia require surgery?

Most cases of umbilical hernia in infants do not require surgery, as 80% of infants with an umbilical hernia will see it gradually close as they grow older and their bodies develop. Surgery is only necessary in a small number of children if the hernia is still pronounced after the age of two, or if the hernia ring is too large, exceeding 2 cm in diameter, and cannot heal naturally. Surgery is also required if the hernia becomes incarcerated. In other cases, it is sufficient to prevent the child from crying excessively, avoid prolonged crying, and actively prevent and treat digestive system diseases in children to reduce abdominal pressure and prevent protrusion.

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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 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.