Will there still be a lump on the belly button after umbilical hernia surgery?

Written by Zeng Hai Jiang
Pediatrics
Updated on June 02, 2025
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Umbilical hernia refers to a bulge formed by the contents of the abdominal cavity protruding through a weak spot in the navel area, 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, unless there is incarceration of the hernia, it is possible to observe and use non-surgical treatment before the age of two. When the child reaches two years of age and the diameter of the hernia exceeds 1.5 centimeters, surgical treatment is recommended. After the surgical treatment of the umbilical hernia, the bulge on the belly button will disappear. The surgery involves making a small incision at the lower edge of the navel, freeing the hernial sac, repositioning the herniated contents, and after excising part of the hernial sac at the hernial ring, suturing is performed.

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Written by Zhang Peng
General Surgery
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Does an umbilical hernia hurt?

Umbilical hernias can be painful because they may become incarcerated or even rupture. An umbilical hernia occurs when the area has not completely closed, allowing abdominal organs, such as the omentum or intestines, to enter the hernia sac. If incarceration persists for an extended period, it can cause localized pain and even symptoms of nausea and vomiting. For umbilical hernias, we generally advocate conservative treatment within the first six months, as most patients can heal on their own. If the diameter of the umbilical ring is still greater than 1.5 cm after the age of two, we recommend surgical treatment. The conservative treatment for umbilical hernia involves using a coin or a flat board, larger than the umbilical ring, wrapped and pressed against the ring, and then secured with wide adhesive tape. This method can prevent the hernia from protruding and promote healing.

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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 Zeng Hai Jiang
Pediatrics
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Will there still be a lump on the belly button after umbilical hernia surgery?

Umbilical hernia refers to a bulge formed by the contents of the abdominal cavity protruding through a weak spot in the navel area, 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, unless there is incarceration of the hernia, it is possible to observe and use non-surgical treatment before the age of two. When the child reaches two years of age and the diameter of the hernia exceeds 1.5 centimeters, surgical treatment is recommended. After the surgical treatment of the umbilical hernia, the bulge on the belly button will disappear. The surgery involves making a small incision at the lower edge of the navel, freeing the hernial sac, repositioning the herniated contents, and after excising part of the hernial sac at the hernial ring, suturing is performed.

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Written by Zhang Xian Hua
Pediatrics
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Does an infant umbilical hernia require surgery?

Umbilical hernias in infants do not always require surgery; only a small portion necessitates it. Surgery is needed mainly if the child is over two years old and still has a noticeable umbilical hernia, or if the hernia's ring diameter exceeds 2 cm. In these cases, the chances of natural healing are slim, and surgical intervention to remove the hernia sac and repair the abdominal wall defect may be necessary. In other cases, 80% of umbilical hernias can heal by the age of two as the abdominal muscles strengthen and develop with age, often causing the hernia ring to narrow and close on its own, achieving healing without any additional treatment. The previously used method of compressing the hernia with a hernia belt has been proven ineffective and is no longer employed.

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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.