Umbilical hernia repair

Definition:

Surgery to repair an umbilical hernia, a sac that protrudes through the umbilicus (belly-button, navel).

Description:

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

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 guidelines for an umbilical hernia surgery include:

• incarcerated (strangulated) umbilical hernia
• moderate defects not spontaneously closed by 4 to 5 years of age
• children under 2 with very large defects unacceptable to parents for cosmetic reasons