Does infant umbilical hernia need treatment?

Written by Zhang Xian Hua

Pediatrics

Updated on February 14, 2025

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Infant umbilical hernia is caused by poor congenital development of the navel, resulting in protrusion of the umbilicus. Usually, as the child ages, the hernial ring gradually narrows and closes, and 80% of such cases can close on their own. However, there are a few cases, such as those where the hernial ring diameter is too large, especially more than 2cm, or those that do not close by the age of two, which require surgical treatment. During this period, it is usually necessary to avoid situations that may cause increased abdominal pressure in the child, leading to protrusion of the navel, such as preventing the child from crying intensely. For instance, if the child exhibits gastrointestinal symptoms, they should be taken to the doctor for timely examination and treatment.

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Written by Zeng Hai Jiang

Pediatrics

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Is there no belly button after umbilical hernia surgery?

Umbilical hernia refers to a protrusion formed by abdominal cavity contents through the umbilical ring, commonly seen in infants and young children. Most umbilical hernias can heal on their own within the first year as the umbilical fascial ring gradually contracts. Therefore, non-surgical treatment is mostly adopted to promote healing. However, if the child is over two years old and the diameter of the umbilical hernia exceeds 1.5 centimeters, surgical treatment is recommended. After umbilical hernia surgery, the belly button is still preserved. The surgery generally involves making a small incision at the lower edge of the navel, freeing the hernial sac, repositioning the hernial contents, and after partially excising the hernial sac at the umbilical ring, suturing is performed.

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Written by Zhang Xian Hua

Pediatrics

1min 18sec

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The difference between infant umbilical hernia and hernia

Infant umbilical hernia is a type of hernia, which differs from general hernias as the latter encompasses a broader category including umbilical hernia, direct inguinal hernia, indirect inguinal hernia, etc. Infant umbilical hernia is caused by a congenital weakness in the abdominal wall at the navel, leading to a protrusion. Similarly, hernias are often the result of insufficient developmental thickness of the abdominal wall. Thus, when intra-abdominal pressure increases, contents such as the intestine can protrude through the hernia sac, forming a hernia. Regardless of the type, whether umbilical or otherwise, it is essential to visit a pediatric surgical department in a hospital for examination and analysis. Most umbilical hernias close as the child grows and the hernial ring narrows, usually by the age of two, and often do not require special treatment. However, surgical treatment may be necessary for a small portion of cases where the diameter of the hernial ring is larger than two centimeters or has not closed after the age of two. For hernias in other locations, if incarceration occurs, emergency surgery is needed, and surgery may still be required if the condition does not resolve spontaneously.

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Written by Zhang Xian Hua

Pediatrics

50sec

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Can babies with umbilical hernias take baths?

Infant umbilical hernia is a congenital developmental disorder caused by a weak abdominal wall at the navel present from birth, which especially tends to bulge when intra-abdominal pressure increases. Of course, bathing is permissible as long as there is no local skin infection around the hernia; there are no issues with bathing otherwise. However, if there is local skin infection or damage at the hernia site, caution should be taken during bathing to disinfect properly and avoid irritating the wound, which could worsen the symptoms. Indeed, over 80% of umbilical hernias can heal naturally before the age of two as the child grows and develops. Only a small fraction of children, whose hernia ring diameter is larger than 2 cm or who still have a noticeable umbilical hernia after the age of two, require surgical treatment.

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Written by Zhang Peng

General Surgery

1min 4sec

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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 Zhang Xian Hua

Pediatrics

55sec

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Can infant umbilical hernia be cured?

Infant umbilical hernia is caused due to the weak abdominal wall around the navel and inadequate prenatal development. About 80% of infant umbilical hernias will gradually decrease and close as the child grows older and their physique develops. During this period, it is sufficient to avoid increased abdominal pressure, typically by preventing prolonged and intense crying in the child, and by actively treating gastrointestinal diseases that increase gas and abdominal pressure. Previously, children were often treated using umbilical hernia belts; however, there is now scientific evidence showing these are ineffective. Conversely, improper use of an umbilical hernia belt can cause damage to the child's abdominal skin. If the child's hernia has not healed by age two, or if the hernia ring is larger than 2 cm in diameter, surgical treatment may be necessary.