Is it normal for there to be moving gas inside an umbilical hernia?

Written by Li Chang Yue
General Surgery
Updated on December 19, 2024
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It is abnormal for there to be movement of gas within an umbilical hernia. This could potentially indicate that the contents of the hernia include a part of the intestine. When excessive intestine is present within the hernial sac of an umbilical hernia, it can easily lead to the movement of gas as it moves through the intestine. This condition is relatively common in clinical settings, and it is also used as a symptom to diagnose the possibility of an umbilical hernia. Therefore, when there is movement of gas observed in an umbilical hernia, it is crucial to reposition the hernia back into place using massage and other standard techniques to avoid prolonged entrapment of the intestine, which can lead to ischemic necrosis and the possible formation of an incarcerated hernia. This condition should be actively treated to prevent complications.

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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
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Treatment methods for infant umbilical hernia

Infant umbilical hernia is caused by a congenital weak abdominal wall around the navel, leading to protrusion. It generally does not require special treatment methods. As long as care is taken to avoid the child's intense or prolonged crying, actively treat gastrointestinal diseases to prevent increased abdominal pressure that could lead to protrusion, no special treatment is usually necessary. This is because 80% of children with umbilical hernias will see their hernia rings gradually shrink or even close as they grow older, typically by the age of two. Surgical treatment might only be needed if the hernia ring is very large, such as more than two centimeters in diameter, or if the obvious umbilical hernia persists after the age of two.

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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 Xian Hua
Pediatrics
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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 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.