Top of the page Decision Point. You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. An umbilical hernia is a bulge near the belly button, or navel. The hernia has a sac that may hold some intestine, fat, or fluid.
These tissues may bulge through an opening or a weak spot in the stomach muscles. You may have had this weak spot since you were born, when muscle and other tissue around your umbilical cord didn't close properly. In adults, umbilical hernias are more common in women who have been pregnant several times, in people who are overweight, and in people who have had surgery in the belly. Repairing the hernia can relieve pain and discomfort and make the bulge go away. The hernia won't heal on its own.
During the surgery, the doctor makes a small cut, or incision, just below the belly button. Any tissue that bulges into the hernia sac is pushed back inside the belly. The muscles and tissues around the belly button are repaired, and the cut is closed with stitches. Usually there is only a small scar, but if the hernia is very large, the belly button may not look normal.
Most of the time, a surgeon can fix this. This surgery has few risks. A synthetic patch or mesh may be used to repair your hernia. Patch use is becoming widespread in repairing hernias in adults. A patch may strengthen your abdominal wall, reduce your discomfort after surgery, and reduce the chance that your hernia repair will have to be done again.
It can take up to 4 weeks after open hernia surgery before you can begin normal strenuous activities. If you have laparoscopic surgery, you may recover sooner. Talk with your doctor before wearing a corset or truss for a hernia. These devices aren't recommended for treating hernias and sometimes can do more harm than good. There may be certain cases when your doctor thinks a truss would work, but these are rare. Your hernia may get worse, but it may not.
Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through. But some small, painless hernias never need repair.
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. I'm pregnant, and I have a small hernia that doesn't hurt. I've talked with my doctor about it, and she said I could have surgery as long as I have an epidural and not general anesthesia.
But she said it may be best to wait until I'm done having kids. There's a risk I could get another hernia when I get pregnant again. So as long as my hernia doesn't get worse, I'll wait. I've had a hernia for a few years now. My doctor said it may have happened because I lost a lot of weight and my stomach muscles were weak. So I started exercising to try to get stronger, and I feel great. The hernia hasn't ever really bothered me, except for how it looks. So I don't feel like it's worth having surgery now.
I've had a small umbilical hernia for several years but have basically ignored it. I'm not a big believer in letting people cut on my body, so I wanted to avoid surgery at all costs. But the hernia is really starting to bug me now, and it's gotten bigger and it looks weird. So I've got an appointment to talk to my doctor about surgery. I'm a nurse, and sometimes I have to lift patients and other heavy things.
One day, after helping a patient transfer into a wheelchair, I felt something weird in my abdomen. Later, I noticed a bulge in my belly button. My doctor said it may have happened because I've gained quite a bit of weight lately. I've decided to go ahead and have it fixed since it's kind of painful and it could be a problem with my work. Your personal feelings are just as important as the medical facts.
Think about what matters most to you in this decision, and show how you feel about the following statements. My hernia is keeping me from doing daily activities or from returning to work. I will be travelling to an area where health care may not be available, so I want to take care of this now. I have no plans to travel to places where health care may not be available. Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision.
Show which way you are leaning right now. How sure do you feel right now about your decision? Use the following space to list questions, concerns, and next steps. Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. St Louis, MO: Elsevier; chap Umbilical and other abdominal wall hernias. Peter SD, eds. Updated by: Robert A. Review provided by VeriMed Healthcare Network.
Editorial team. Umbilical hernia repair. Your surgeon will make a surgical cut under your belly button. Your surgeon will find your hernia and separate it from the tissues around it.
Then your surgeon will gently push the contents of the hernia either fat or intestine back into the abdomen. Strong stitches will be used to repair the hole or weak spot caused by the umbilical hernia. Your surgeon may also place a piece of mesh over the weak area usually not in children to make it stronger. Why the Procedure is Performed.
Umbilical hernia repair may be needed in children for these reasons: The hernia is painful and stuck in the bulging position. Blood supply to the intestine is affected. The hernia has not closed by age 3 or 4. The defect is very large or unacceptable to parents because of how it makes their child look.
Even in these cases, the doctor will probably suggest waiting until your child is 3 or 4 to see if the hernia closes on its own since an early umbilical hernia repair is more likely to recur and exposes children to anesthesia earlier in life. Risks of anesthesia and surgery in general are: Reactions to medicines or breathing problems Bleeding , blood clots, or infection Risks of umbilical hernia surgery include any of the following: Injury to the small or large intestine rare Hernia comes back small risk.
Before the Procedure. Several days before surgery, you may be asked to stop taking: Aspirin or nonsteroidal anti-inflammatory drugs NSAIDs , such as ibuprofen, Motrin, Advil, or Aleve Other blood-thinning medicines Certain vitamins and supplements. After the Procedure.
Outlook Prognosis. Alternative Names. Patient Instructions. Bringing your child to visit a very ill sibling Surgical wound care - open. Umbilical hernia repair - series. Hernia Read more. The risk of your child developing complications is very low. Surgery is recommended for most adults with an umbilical hernia because the hernia is unlikely to get better by itself when you're older and the risk of complications is higher.
Surgery will get rid of the hernia and prevent any serious complications, although there's a chance of it returning after the operation.
An umbilical hernia repair is a relatively simple procedure that normally takes about 20 to 30 minutes. General anaesthetic is usually used so there's no pain while the operation is carried out. In children, the weak spot in the abdominal wall is usually closed with stitches. If the hernia is large or in adults, a special mesh may be used to strengthen the area instead. You or your child should be able to go home on the same day as the operation.
You may feel a bit sore and uncomfortable while you recover.
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