How to press back an umbilical hernia?

Written by Tang Da Wei
General Surgery
Updated on September 25, 2024
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Umbilical hernias are generally more common in newborns, primarily because the umbilical ring has not yet completely closed. In children, lumps appear in the navel area when they cry or when abdominal pressure increases. To address an umbilical hernia, first massage the area around the belly button, then gently return the hernial sac to the abdominal cavity with both hands. After returning the hernia, secure it externally with a hernia belt. This can effectively prevent the recurrence of the umbilical hernia. Typically, through conservative treatment, which involves this method of binding for about one to two months, the patient’s umbilical hernia can heal on its own.

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Written by Zhang Peng
General Surgery
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How is umbilical hernia treated?

In treating umbilical hernias, we need to consider both the age of the patient and the size of the hernia specifically caused. Generally, children under the age of two do not require surgery. Typically, we consider using a coin or cardboard larger than the umbilical ring, wrapping it up, pressing against the umbilical ring, and securing it with adhesive tape to prevent movement. Most can close by themselves and heal. For children over two years old, if the hernia is still larger than 1.5cm, surgical treatment should be considered. In adults, traditional tissue repair methods are generally used, or an open umbilical hernia tension-free repair. The repair can be placed in front of the muscle or can use a hernia ring filling method. For most patients, if there is an opportunity for minimally invasive treatment, laparoscopic umbilical hernia repair can be selected. This method generally involves a smaller incision and can preserve the navel, reducing the chance of incision infection, and is particularly suitable for obese patients.

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Written by Li Chang Yue
General Surgery
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The difference between umbilical hernia and umbilical sinus.

The main difference between umbilical hernia and umbilical sinus is that an umbilical hernia is primarily due to the weakness of the tissues around the navel. When the intra-abdominal pressure of a patient increases, it can easily cause intestinal contents to protrude through the weak umbilical ring. On the other hand, an umbilical sinus generally refers to certain secretions that form around the navel after the scab falls off post-birth in newborns, which sometimes can easily lead to infections. This condition is not caused by weakness of the navel but is likely related to localized infections after the umbilical cord is cut. Therefore, the mechanisms of these two conditions are different. Generally, an umbilical hernia requires surgical treatment, while an umbilical sinus can be completely healed by controlling the infection, and it does not pose significant harm.

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Written by Zhang Peng
General Surgery
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Can umbilical hernia be treated with moxibustion?

Umbilical hernia is fundamentally a surgical condition. The effectiveness of moxibustion in treating umbilical hernia is generally not very clear, and currently, there is no scientific basis to prove that moxibustion can cure umbilical hernia. Typically, umbilical hernias occur when the umbilical ring does not completely close. In children under six months, a conservative treatment approach is usually chosen. This can involve using a coin or cardboard larger than the umbilical ring, wrapping it to press against the ring, and securing it with adhesive tape to prevent movement. Most patients under six months old can heal naturally. For umbilical hernias, if the child is over two years old and the umbilical ring is still larger than 1.5 cm, surgical treatment is recommended. Moxibustion treatment does not offer significant benefits in the treatment of umbilical hernias. Therefore, as umbilical hernia is a surgical condition, it is advised that patients undergo surgery if their condition permits.

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Written by Tang Da Wei
General Surgery
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What impact does an umbilical hernia have on a baby?

Umbilical hernia mainly manifests in children as a bulge at the belly button, primarily containing small intestine. If an umbilical hernia is not treated in a timely manner, it may gradually enlarge when the child cries or when intra-abdominal pressure increases, leading to more of the small intestine protruding outside of the abdominal cavity. This can potentially cause localized intestinal obstruction, impacting the child's intestinal absorption capabilities and leading to weight loss. If a significant portion of the intestine protrudes and becomes incarcerated, it could cause intestinal obstruction or necrosis, necessitating surgical removal of the necrotic intestine in a hospital.

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Written by Zhang Xian Hua
Pediatrics
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Can an infant umbilical hernia cause crying?

Infant umbilical hernia is caused by a congenital weakness in the umbilicus, usually manifesting as an umbilical bulge during increased abdominal pressure. Generally, an umbilical hernia does not cause children to cry. However, if the hernia ring is relatively large, and abdominal structures such as the greater omentum or small intestine protrude through it, incarceration can occur, leading to abdominal discomfort and crying in the child. In such cases, carefully pushing the hernia back in is usually sufficient. Umbilical hernias typically do not require special treatment; it is only necessary to prevent prolonged intense crying in children and to actively prevent and treat indigestive diseases. Generally, as the child grows older and their physique strengthens, the hernia ring narrows and may even close naturally. Only a small number of babies, if the hernia ring diameter is larger than 2 cm, or if there is a noticeable umbilical hernia after the age of two, might experience discomfort requiring surgical treatment.