During umbilical hernia repair, the surgeon makes a small cut of about 2 to 3cm at the base of the belly button and pushes the fatty lump or loop of bowel back into the tummy. The muscle layers at the weak spot in the abdominal wall where the hernia came through are stitched together to strengthen them.
Umbilical hernias are common and typically harmless. Umbilical hernias are most common in infants, but they can affect adults as well. In an infant, an umbilical hernia may be especially evident when the infant cries, causing the bellybutton to protrude. This is a classic sign of an umbilical hernia.
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.
Most patients with umbilical hernias first notice a belly button bulge or discomfort. Over time these hernias can get larger and more uncomfortable as the hernia sac gets pushed out from inside the abdomen. Like other hernias, an umbilical hernia in an adult will not go away or get better without treatment.
Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. If the hernia is small and you don't have any symptoms, or if the symptoms don't bother you much, you and your doctor may simply continue to watch for symptoms to occur.
Umbilical hernias can be directly under the belly button, or sometimes slightly above or below it. They can look like a small marble under the skin, or as they get larger they can look like a golf ball and sometimes a tennis ball if left untreated.
After Surgery
Hernia repair surgery normally only requires a 23-hour or less stay. Most patients go home the same day. Abdominal wall hernia repairs may require up to a two-day hospital stay due to the internal stitches and healing that is required.
The latest hernia repair techniques usually allow you to return to normal activities within 2 weeks. Gentle exercise, such as walking, can help the healing process. Heavy lifting and strenuous activities should be avoided for about 4 to 6 weeks.
Umbilical hernia repair is a fairly quick and simple operation. It takes about 20 to 30 minutes and it's usually possible to go home on the same day. However, some people stay in hospital overnight if they have other medical problems or if they live alone.
Most inguinal hernias can be pushed back into the belly with gentle massage and pressure. An inguinal hernia will not heal on its own. If you have symptoms, or the hernia is growing, you may need surgery.
Repairing a hernia is major surgery. And like so many other types of surgery, hernia repairs have gotten much better for patients over the years, says Leon Clarke, MD, a general surgeon at Mercy Fitzgerald Hospital.
Umbilical Hernia Causes
A loop of intestine can move into and even penetrate the opening between abdominal muscles and cause a hernia. Umbilical hernias occur most often in infants but can also occur in adults.
Most umbilical hernias heal on their own, but your doctor may recommend surgery if: Your child's hernia is very large. Hernias that measure 2 cm (0.8 in.) wide or larger are less likely to close on their own.
If hernia is left untreated, the size of protruding intestine might get bigger and become strangulated leading to the reduction of blood flow to surrounding tissue.
A sudden increase in intra-abdominal pressure, such as coughing, vomiting, gastroscopy or, as in this case, straining for stool can cause rupture of an umbilical hernia.
A hernia usually does not go away without surgery. Non-surgical approaches such as wearing a corset, binder, or truss may exert gentle pressure on the hernia and keep it in place. These methods may ease the pain or discomfort and may be used if you are not fit for the surgery or awaiting surgery.
You will probably receive general anesthesia (asleep and pain-free) for this surgery. If your hernia is small, you may receive spinal, epidural block, or local anesthesia and medicine to relax you. If general anesthesia is not used, you will be awake but pain-free.
Fatty Food - Saturated or trans fats food items such as red meat, processed food, high-fat dairy products, hydrogenated vegetable oil should be strictly avoided because these food items lead to inflammation and an increase in weight that possess the risk of increasing the problem of hernia.
After surgery, you are likely to have pain for a few days. The area around your navel may be swollen. You may also feel tired and have less energy than normal. This is common.
Fullington perform (for inguinal, umbilical, and small incisional hernias) is about 2 weeks. Many patients feel well enough to perform normal daily activities – including driving and return to work – after only a couple of days, but we restrict patient activity for 2 weeks to allow for adequate healing.
With both surgery types, you may feel pain or soreness for the first 72 hours post-op. You can often manage it with over-the-counter drugs, such as acetaminophen or ibuprofen if your hernia was small or in the groin. Most people have less pain after minimally invasive hernia surgery versus open.
Most people are able to return to work within 1 to 2 weeks after surgery. But if your job requires that you do heavy lifting or strenuous activity, you may need to take 4 to 6 weeks off from work. You may shower 24 to 48 hours after surgery, if your doctor okays it.
Patients are counseled that they will likely lose 10–15 pounds during the first 4–6 weeks after surgery before the nadir of weight loss (2).
The patient is given a local anesthetic to numb the area where the surgery is performed, and some sedatives to help him remain relaxed and calm, but remains fully awake during the procedure.