Treatment methods for infant umbilical hernia

Written by Zhang Xian Hua
Pediatrics
Updated on November 07, 2024
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Infant umbilical hernia is caused by a congenital weak abdominal wall around the navel, leading to protrusion. It generally does not require special treatment methods. As long as care is taken to avoid the child's intense or prolonged crying, actively treat gastrointestinal diseases to prevent increased abdominal pressure that could lead to protrusion, no special treatment is usually necessary. This is because 80% of children with umbilical hernias will see their hernia rings gradually shrink or even close as they grow older, typically by the age of two. Surgical treatment might only be needed if the hernia ring is very large, such as more than two centimeters in diameter, or if the obvious umbilical hernia persists after the age of two.

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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 Zhang Xian Hua
Pediatrics
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Does infant umbilical hernia need treatment?

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 Xian Hua
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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.

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General Surgery
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Does an umbilical hernia affect a baby's gastrointestinal system?

Umbilical hernia generally does not affect a baby's gastrointestinal tract, but we need to avoid the hernia becoming trapped or even rupturing. Once an umbilical hernia has formed, the hernial sac may contain abdominal omentum or possibly intestines. If the intestines become trapped, this can lead to necrosis of the intestines. Generally, patients may experience nausea, vomiting, or even bloody stools. Therefore, umbilical hernias can usually be treated conservatively within the first six months. If the diameter of the umbilical ring is still greater than 1.5 cm after the age of two, we recommend early surgical intervention, as only surgical treatment can cure it. In the treatment process of an umbilical hernia, the conservative treatment methods adopted mainly involve using a coin or a flat board larger than the umbilical ring, wrapping it to press against the umbilical ring, and then securing it with wide tape to prevent movement.

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Written by He Zong Quan
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What does it look like after an umbilical hernia is healed?

After umbilical hernia occurs, if it is cured and the wound heals, there is no difference from normal. There will be no lumps protruding from the abdominal wall. In principle, surgical treatment is often required after umbilical hernia occurs, as the likelihood of natural healing is small. The surgery mainly involves a tension-free umbilical hernia repair, which includes suturing the hernia ring and generally reinforcing it externally to ensure that the hernia does not recur. After the umbilical hernia is cured, the patient's navel will be flat with no protruding lumps, and there will be no incarceration of the hernia or compression of the intestines, which could cause gastrointestinal symptoms.