Treatment of infant umbilical hernia, what are the methods?

Written by Zhang Xian Hua
Pediatrics
Updated on March 30, 2025
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Infant umbilical hernia is a congenital condition where the abdominal wall muscles around the navel are underdeveloped and weak, causing a protrusion at the umbilicus. This often protrudes more readily when intra-abdominal pressure increases. Therefore, it is important to avoid causing the child excessive crying, and if the child has gastrointestinal symptoms, they should be treated promptly. Furthermore, since over 80% of umbilical hernias close as the child ages, typically by the age of two, as the hernia ring gradually narrows or even closes, special treatment is usually not needed. However, if the umbilical hernia has not healed by the time the child is two years old, or if the diameter of the hernia ring is greater than 2cm, surgery may ultimately be necessary.

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Written by He Zong Quan
General Surgery
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Does adult umbilical hernia affect the body?

Adult umbilical hernias definitely impact the body, as they primarily involve abdominal contents protruding through a weak area of the abdominal wall at the navel, which can easily lead to hernia incarceration. This causes compression of the intestinal tract, leading to symptoms such as abdominal pain, bloating, and constipation that are difficult to alleviate, as well as abdominal wall pain and localized inflammatory reactions. Such cases generally require surgical treatment. In early stages of an umbilical hernia, there is concern for gradual expansion of the hernia ring, which warrants early intervention, possibly involving padding and bandaging the weak spot in the abdominal wall to prevent the protrusion of abdominal contents. If the umbilical hernia frequently protrudes, it is necessary to consider surgery as soon as possible.

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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 Peng
General Surgery
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Will an umbilical hernia cause abdominal pain?

Umbilical hernia may cause stomach pain. This is possible because an umbilical hernia occurs when the intestines push through a weak spot in the belly button area due to pressure. In most cases, it is the small intestine that protrudes through the hernia. If a large portion of the small intestine protrudes, it can lead to kinking and potentially cause an obstruction of the small intestine. Once the small intestine is obstructed, it can lead to abdominal pain, and may also be accompanied by bloating, nausea, and vomiting. Thus, in cases where the small intestine is kinked, it is possible for an umbilical hernia to cause stomach pain.

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Written by Zhang Peng
General Surgery
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Can an umbilical hernia heal itself?

Umbilical hernias can heal on their own, but we need to choose the appropriate method during the treatment process. Generally, if the umbilical hernia occurs before the age of two, we can choose a coin larger than the umbilical ring or a flat board, wrap it in gauze to press against the umbilical ring, and then use tape to secure it to prevent it from moving. In such cases, the hernia may heal on its own. During the observational treatment of an umbilical hernia, it is also important to prevent the child from engaging in vigorous activities or crying. If the diameter of the umbilical ring exceeds 1.5cm after the age two, we recommend choosing surgical treatment. Generally, if the umbilical hernia has not healed by the age of five, we actively recommend opting for surgical treatment. If the child's improper lifestyle can cause aggravation or even rupture of the umbilical hernia, emergency surgery is required in such cases.

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Is hot compress useful for umbilical hernia?

In cases of umbilical hernia, applying heat generally has no effect. For infants, it is often acceptable to observe conservatively until the child is about two years old. Adhesive tape therapy can be used in this period. By the age of two, the umbilical ring in most children will close on its own. For those over two years old with an umbilical ring diameter still greater than 1.5 cm, surgery should be considered. For patients over five years old, it is generally recommended to undergo surgery sooner rather than later. In adults, the causes of umbilical hernias are mainly due to factors such as pregnancy, excessive fat in the greater omentum, chronic coughing, cirrhosis with ascites, etc., which increase abdominal pressure. Incarceration can occur, involving either the greater omentum or the small intestine, and surgery is usually the chosen treatment method, either through traditional tissue repair techniques or open tension-free hernia repair. In some cases, laparoscopic umbilical hernia repair may be chosen when necessary.