Location Map FAQ
St. Maarten Medical Center
An umbilical hernia occurs when a tissue bulges out through an opening in time muscles on the abdomen near the navel or belly button (umbilicus). About 10% of abdominal hernias are umbilical hernias.
The most common symptoms are:
Open hernia repair - An incision is made near the sire. Your surgeon will repair the hernia with mesh or by suturing (sewing) the muscle layer closed.
Laparoscopic hernia repair – The hernia is repaired with mesh or sutures inserted through instruments placed into small in the abdomen.
Watching waiting is generally not recommended for adults with an umbilical hernia. You may be able to wait to repair umbilical hernias that are very small, reducible (can be pushed back in) and not uncomfortable. There is a risk of the intestines being squeezed in the hernia pouch and blood supply being cut off (strangulation). If this happens, you will need an immediate operation.
The type of operation depends on hernia size and location, and if it is a repeat hernia (recurrence). Your health, age, and the surgeon’s expertise are also important. An operation is the only treatment for a hernia repair.
Your hernia can be repaired either as an open or laparoscopic approach. The repair can be done by using sutures only or adding a piece of mesh.
The surgeon makes an incision near the hernia site, and the bulging tissues is gently pushed back into the abdomen, sutures or mesh are used to close the muscle.
The surgeon will make several small punctures or incisions in the abdomen.
Ports or trocars (hollow tubes) are inserted into the openings. Surgical tools and a lighted camera are places into the ports. The abdomen is inflated with carbon dioxide gas to make it easier for the surgeon to see the hernia. Mesh may be sutured or fixed with staples to the muscle around the hernia site. The port openings are closed with sutures, surgical clips, or glue.
Watchful waiting is not usually recommended expect for very small umbilical hernias. A surgical repair is recommended for adults who have symptoms, incarceration, thinning of the skin, or uncontrollable ascites.
Because abdominal muscles weaken with age, the hernia can increase in size, and there is a risk of incarceration and strangulation. Abdominal binders that apply pressure and push back the bulge will not repair the hernia.
If general anesthesia is given or if you are taking narcotics for pain, it may cause you to feel
different for 2 or 3 days. You may have trouble remembering and feel tired. Yu should not drive, drink
alcohol, or make any big decisions for at least 2 days.
Avoid straining with bowel movements by increasing the fiber in your diet with high-fiber foods or over-the-counter medicines. Be sure you are drinking 8 to 10 glasses of water each day.
The amount of pain is different for each person. The new medicine you will need after your operation is for pain control, and your doctor will advise how much you should take. You can use throat lozenges if you have sore throat pain from the tube placed in your during your anesthesia.
Contact your surgeon if you have: