Umbilical hernia

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Written by Zhang Peng
General Surgery
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Why has the umbilical hernia become hard?

If the umbilical hernia becomes hard, it may indicate that it has become incarcerated. In such cases, vigorous activities should be avoided and one should rest appropriately or try to manually reduce the protruding hernia sac back into the abdominal cavity. In this situation, close observation is needed to check for intestinal necrosis or even rupture of the hernia. Generally, for umbilical hernias, most children can heal naturally within two years, particularly within the first six months if conservative treatment is chosen. One can use a coin or a piece of paper larger than the umbilical ring, wrap it around, press it against the umbilical ring, and then secure it with adhesive tape to prevent movement, which generally leads to healing within six months. If the umbilical ring still has a diameter greater than 1.5 cm after two years, surgical treatment is recommended as early as possible. If the child is over five years old and the umbilical hernia has not healed, timely surgical intervention should be chosen.

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Written by Zhang Peng
General Surgery
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Nursing methods for umbilical hernia

Care methods for umbilical hernia, we need to pay attention to the following points. If during a child's intense crying or activity, the contents of the umbilical hernia protrusion are relatively large, it is important to promptly soothe the patient to avoid incarceration. Because if the incarceration lasts too long, it can lead to necrosis or even rupture of the intestine, potentially endangering the child's life and requiring emergency surgical treatment. The general conservative treatment method for umbilical hernia is to select a coin or flat plate larger than the diameter of the umbilical ring, wrap it around to press against the umbilical ring, and then secure it with adhesive tape to prevent movement. Generally, most children can self-heal within six months. If the umbilical hernia does not heal by itself after two years and the diameter of the umbilical ring is greater than 1.5 cm, surgery is recommended. In any case, if the patient is older than five years and has not healed in a timely manner, it is advisable to proactively opt for surgery as soon as possible.

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Written by Na Hong Wei
Orthopedics
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Can sheath effusion be treated with an umbilical hernia belt?

Can a hernia belt be used for hydrocele? Basically, a hernia belt is of no use for hydrocele. First, you need to understand the difference between hydrocele and hernia. What is a hernia? A hernia occurs when there's a hole in the groin area through which abdominal organs such as the omentum, intestines, and abdominal fluids can leak into the scrotum. By simply covering this hole, the descent of these abdominal contents can be prevented, which is the function of a hernia belt. What about hydrocele? It occurs when the processus vaginalis does not close properly or at all. Usually, it's still small enough that only abdominal fluids can leak into the scrotum, but larger organs like the intestines cannot descend. Therefore, using a hernia belt is ineffective for a hydrocele because there's no hole in the groin area that needs covering or blocking. Hence, a hernia belt is useless for hydrocele.