Does infant umbilical hernia need treatment?

Written by Zhang Xian Hua
Pediatrics
Updated on February 14, 2025
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Infant umbilical hernia is caused by poor congenital development of the navel, resulting in protrusion of the umbilicus. Usually, as the child ages, the hernial ring gradually narrows and closes, and 80% of such cases can close on their own. However, there are a few cases, such as those where the hernial ring diameter is too large, especially more than 2cm, or those that do not close by the age of two, which require surgical treatment. During this period, it is usually necessary to avoid situations that may cause increased abdominal pressure in the child, leading to protrusion of the navel, such as preventing the child from crying intensely. For instance, if the child exhibits gastrointestinal symptoms, they should be taken to the doctor for timely examination and treatment.

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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 Li Chang Yue
General Surgery
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Is it normal for there to be moving gas inside an umbilical hernia?

It is abnormal for there to be movement of gas within an umbilical hernia. This could potentially indicate that the contents of the hernia include a part of the intestine. When excessive intestine is present within the hernial sac of an umbilical hernia, it can easily lead to the movement of gas as it moves through the intestine. This condition is relatively common in clinical settings, and it is also used as a symptom to diagnose the possibility of an umbilical hernia. Therefore, when there is movement of gas observed in an umbilical hernia, it is crucial to reposition the hernia back into place using massage and other standard techniques to avoid prolonged entrapment of the intestine, which can lead to ischemic necrosis and the possible formation of an incarcerated hernia. This condition should be actively treated to prevent complications.

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Written by Zhang Xian Hua
Pediatrics
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How many months can an infant umbilical hernia heal?

Umbilical hernia in infants is caused by congenital development of the umbilical area and weak abdominal muscles, leading to protrusion of the umbilicus. This protrusion is more likely to occur when the child cries intensely, has digestive issues, or experiences increased pressure in the gastrointestinal tract. The majority of umbilical hernias heal on their own as the child ages; small hernial rings may heal within a few months, and about 80% of slightly larger hernias heal by the age of two. However, a small number of children with umbilical hernias, especially those with a hernial ring diameter greater than 2 cm, usually cannot heal on their own. Generally, if a noticeable umbilical hernia still exists after the age of two, surgical treatment may be necessary, though no special treatment is typically needed before that.

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Written by Zhang Xian Hua
Pediatrics
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Can infant umbilical hernia be cured?

Infant umbilical hernia is caused due to the weak abdominal wall around the navel and inadequate prenatal development. About 80% of infant umbilical hernias will gradually decrease and close as the child grows older and their physique develops. During this period, it is sufficient to avoid increased abdominal pressure, typically by preventing prolonged and intense crying in the child, and by actively treating gastrointestinal diseases that increase gas and abdominal pressure. Previously, children were often treated using umbilical hernia belts; however, there is now scientific evidence showing these are ineffective. Conversely, improper use of an umbilical hernia belt can cause damage to the child's abdominal skin. If the child's hernia has not healed by age two, or if the hernia ring is larger than 2 cm in diameter, surgical treatment may be necessary.

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Written by Zeng Hai Jiang
Pediatrics
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Will there still be a lump on the belly button after umbilical hernia surgery?

Umbilical hernia refers to a bulge formed by the contents of the abdominal cavity protruding through a weak spot in the navel area, commonly seen in infants and young children. Most umbilical hernias can heal on their own within the first year as the umbilical fascial ring gradually contracts. Therefore, unless there is incarceration of the hernia, it is possible to observe and use non-surgical treatment before the age of two. When the child reaches two years of age and the diameter of the hernia exceeds 1.5 centimeters, surgical treatment is recommended. After the surgical treatment of the umbilical hernia, the bulge on the belly button will disappear. The surgery involves making a small incision at the lower edge of the navel, freeing the hernial sac, repositioning the herniated contents, and after excising part of the hernial sac at the hernial ring, suturing is performed.