What Is Umbilical Hernia Repair

Overview

What is umbilical hernia surgery?

Umbilical hernia surgery is a procedure to repair a hernia in a kid's abdominal (abdomen) area.

The process is typically short (around an hour) and successful. Children often render to their regular activities within a few days.

What is an umbilical hernia?

An umbilical hernia is an unusual bulge that you tin often see or feel over the belly button (the umbilicus). An umbilical hernia develops when office of the intestine, together with fat or fluid, forms a sac. This sac pushes through an opening in the muscle of the abdominal wall. Usually, hernias do not cause pain in children.

Umbilical hernia.

Why exercise children get umbilical hernias?

Sometimes, a child is born with an opening in the abdominal wall. This problem happens every bit the infant develops during pregnancy — the intestinal wall muscles don't fully close around the organs.

A hernia happens when the intestine starts to push through the opening. You may see the bulge in the bellybutton all the time. Or you may simply notice information technology when your child is straining those muscles in some way — either past crying, coughing or straining while pooping.

How common are umbilical hernias?

Umbilical hernias occur in 1 out of 6 children. They impact boys and girls every bit. They're more mutual in babies built-in prematurely.

Does an umbilical hernia demand treatment?

An umbilical hernia may non need any treatment. If it does, surgery tin repair it.

Virtually of the time — in more 90% of cases — umbilical hernias heal on their own by the time a child is three or four years onetime. Your healthcare provider will likely recommend waiting until that age to do surgery.

Your child is more than likely to demand surgery if the hernia is:

Incarcerated.
Larger than ii centimeters, around ¾ inch.

Larger and incarcerated hernias are less probable to heal on their own and will probably demand hernia repair surgery.

What's an incarcerated hernia?

An incarcerated hernia is more severe. It happens when the intestines become trapped in the muscles and cause pain and tenderness. A healthcare provider needs to examine the hernia to prevent impairment to the intestines. The child may exist in hurting. The bulge is often ruddy and firm.

Procedure Details

How long does umbilical hernia surgery accept?

Umbilical hernia repair takes about an hour. It's commonly an outpatient procedure, then you can take your child dwelling house the same day equally the surgery. Premature infants and children who have other medical weather condition may demand to spend a dark in the hospital then the care squad can observe them.

What happens before umbilical hernia surgery?

On the day of the surgery, your child will need to follow a strict diet. Doing so helps reduce the gamble of vomiting and aspiration (inhaling fluids) while they're under anesthesia. Your kid's surgeon will review the exact guidelines with you before the process.

What happens during umbilical hernia repair?

Your kid will receive full general anesthesia. This medication relaxes their muscles and puts them to sleep. They'll be asleep and non feel any pain during the procedure.

Then the surgeon will:

Make a small-scale incision at the lesser of the belly button.
Detect the hernia sac containing the bulging intestine.
Button the intestine back into the right identify behind the musculus wall.
Remove the remaining hernia sac.
Reinforce the muscle wall with stitches to prevent some other hernia.
Sew the pare around the bellybutton to the muscle below information technology.

How do I treat my child later on umbilical hernia surgery?

Children often feel fine past the evening after surgery or the next morning. They can eat their regular foods equally shortly as they are ready.

To help them as they recover:

Use pain medicine: Your provider may give yous prescription pain medicine. Many parents find that their child only needs a few doses of this hurting medication. After that, you can use over-the-counter hurting relievers to keep your child comfortable.
Requite them a sponge bath: For the offset few days afterward surgery, use a sponge bath rather than a tub bath. Your provider will let you know when it's safe for a tub bath.
Restrict certain activities: Don't let them do anything that may damage the procedure site. They should avoid bike riding, jungle gyms, wrestling or organized sports. At the follow-up visit, your provider will let you know when your kid can resume those activities.
Help prevent constipation: Straining on the toilet tin cause hurting around the surgical area. Make sure your child drinks plenty of h2o and eats vegetables, fruits and high-cobweb foods. This diet tin can prevent constipation.

Take care of the wound expanse as it heals:

The incision site should heal in nigh four to vi weeks. During the year afterwards surgery, the area will go softer and continue to fade.
Avoid tight, rough or scratchy clothing that can rub against the incision.
Protect the skin around the wound from the sun. The new skin can burn down easily.

Risks / Benefits

What are the advantages of umbilical hernia repair?

Umbilical hernia surgery has several benefits.

The procedure:

Resolves the problem: A hernia repair procedure is the only fashion to gear up a hernia that hasn't airtight on its own.
Has quick recovery: Children are oft back to regular activities in a few days or a week.
Reduces the hazard of pain and complications: If a kid doesn't undergo hernia repair surgery, the hernia may start to go bigger and crusade pain. It may even become incarcerated (when the intestines are squeezed in the hernia sac). If that happens, your child tin can feel pain and vomiting, and they may need emergency surgery.

What are the risks of umbilical hernia surgery?

Hernia repair surgery is very safe. There is a low risk of complications. Just any surgery comes with risks. Complications of hernia repair include:

Infection of the wound.
Hematoma, a collection of blood effectually the hernia site.

Recovery and Outlook

What is the recovery time after umbilical hernia treatment?

Your kid will be back to their regular activities within a few days. Some children may take up to 2 weeks to recover if they had a larger or more complex hernia.

You usually render to your kid's provider for a follow-up appointment around iii to iv weeks after surgery. The provider examines the surgery site and asks how the recovery is going.

When can my child render to school or day care?

Your provider will aid you figure out when information technology'southward safe for your kid to get back to school. Providers normally recommend keeping children home for a few days or up to a week. This gives them time to recover from the procedure and regain their strength.

When to Call the Md

When should I phone call my child's provider afterward umbilical hernia surgery?

Some minor swelling or discoloration around the surgery site is normal. But call your provider if your child has:

Bleeding.
Excessive swelling.
Fever.
Inability to urinate.
Increasing pain.
Redness.

Boosted Details

Will an umbilical hernia come dorsum?

Umbilical hernia repair surgery has high success rates. In rare cases, information technology may recur (come dorsum). Your child'south provider will discuss treatment options if that happens.

A note from Cleveland Clinic

Umbilical hernia surgery for children is a short, safe process that has expert results. Later umbilical hernia repair, your child will exist back to their regular activities within a few days. An umbilical hernia is when part of the intestine pushes through an opening in the abdominal wall. In about 95% of cases, umbilical hernias go away on their own by the time a child is three or four. But sometimes the hernia doesn't go away or the hernia may exist larger and more complex. In these situations, your provider will recommend umbilical hernia surgery. During the procedure, the surgeon pushes the intestine back inside the belly. If you detect a bulge effectually your kid'due south omphalus area, talk to your provider.

Source: https://my.clevelandclinic.org/health/treatments/6241-umbilical-hernia-surgery-for-children

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