Umbilical hernia repair

Umbilical hernia repair - series

Umbilical hernia repair - series - Normal anatomy

The umbilicus (belly button) is in the center of the lower abdomen. It is the site through which vessels which provide nutrients to the fetus from the mother during development penetrate the fetal abdominal wall.

Umbilical hernia repair - series

Umbilical hernia repair - series - Normal anatomy

The umbilicus (belly button) is in the center of the lower abdomen. It is the site through which vessels which provide nutrients to the fetus from th...

Indications

Umbilical hernias are fairly common. They are obvious at birth and are caused by a small defect in the abdominal muscles which allows a portion of the peritoneum (lining of the abdominal cavity) to protrude, and push the umbilicus outward. This is more obvious when the infant cries and the increased pressure results in more visible bulging. The defect is not usually treated surgically. In most cases, by age 3 the umbilical hernia shrinks and closes without treatment. The indications for umbilical hernia repair include incarcerated (strangulated) umbilical hernia, defects not spontaneously closed by 4 to 5 years of age, children under 2 with very large defects unacceptable to parents for cosmetic reasons.

Umbilical hernia repair - series

Indications

Umbilical hernias are fairly common. They are obvious at birth and are caused by a small defect in the abdominal muscles which allows a portion of th...

Incision

General anesthesia is used. A curved incision is made under the umbilicus.

Umbilical hernia repair - series

Incision

General anesthesia is used. A curved incision is made under the umbilicus.

Umbilical hernia repair - series

Procedure

The hernia sac is identified and dissected from the underlying tissues, and cut out. The underlying tissues are then closed with strong nonabsorbable sutures. Skin edges are held with paper tape (steri-strips). The surgical scar should be hidden in the umbilical depression.

Umbilical hernia repair - series

Procedure

The hernia sac is identified and dissected from the underlying tissues, and cut out. The underlying tissues are then closed with strong nonabsorbable...

Aftercare

Children can usually go home within one to two days of an umbilical hernia repair. Recurrence is rare.

Umbilical hernia repair - series

Aftercare

Children can usually go home within one to two days of an umbilical hernia repair. Recurrence is rare.

Review Date: 1/24/2023

Reviewed By: Robert A. Cowles, MD, Professor of Surgery (Pediatrics), Yale University School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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<strong>Umbilical hernia repair - series - Normal anatomy</strong><p>The umbilicus (belly button) is in the center of the lower abdomen. It is the site through which vessels which provide nutrients to the fetus from the mother during development penetrate the fetal abdominal wall.</p>

<strong>Indications</strong><p>Umbilical hernias are fairly common. They are obvious at birth and are caused by a small defect in the abdominal muscles which allows a portion of the peritoneum (lining of the abdominal cavity) to protrude, and push the umbilicus outward. This is more obvious when the infant cries and the increased pressure results in more visible bulging. The defect is not usually treated surgically. In most cases, by age 3 the umbilical hernia shrinks and closes without treatment. The indications for umbilical hernia repair include incarcerated (strangulated) umbilical hernia, defects not spontaneously closed by 4 to 5 years of age, children under 2 with very large defects unacceptable to parents for cosmetic reasons.</p>

<strong>Incision</strong><p>General anesthesia is used. A curved incision is made under the umbilicus.</p>

<strong>Procedure</strong><p>The hernia sac is identified and dissected from the underlying tissues, and cut out. The underlying tissues are then closed with strong nonabsorbable sutures. Skin edges are held with paper tape (steri-strips). The surgical scar should be hidden in the umbilical depression.</p>

<strong>Aftercare</strong><p>Children can usually go home within one to two days of an umbilical hernia repair. Recurrence is rare.</p>

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Umbilical hernia repair - series

Umbilical hernia repair - series - Normal anatomy

Umbilical hernia repair - series

Umbilical hernia repair - series - Normal anatomy

Umbilical hernia repair - series

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Umbilical hernia repair - series

Indications

Umbilical hernia repair - series

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Umbilical hernia repair - series

Incision

Umbilical hernia repair - series

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Umbilical hernia repair - series

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Umbilical hernia repair - series

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Umbilical hernia repair - series

Aftercare

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