Key points to remember • Hernias don't go away on their own. Only surgery can repair a hernia. • Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. If the hernia is small and you don't have any symptoms, or if the symptoms don't bother you much, you and your doctor may simply continue to watch for symptoms to occur. • Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through. • Many doctors recommend surgery because it prevents a rare but serious problem called strangulation. This occurs when a part of intestine or a piece of fatty tissue is trapped inside the hernia and is cut off from its blood supply. An umbilical hernia is a bulge near the belly button, or navel. The hernia has a sac that may hold some intestine, fat, or fluid. These tissues may bulge through an opening or a weak spot in the stomach muscles. You may have had this weak spot since you were born, when muscle and other tissue around your umbilical cord didn't close properly. In adults, umbilical hernias are more common in women who have been pregnant several times, in people who are overweight, and in people who have had surgery in the belly. There are two types of hernia repair surgeries: • Open hernia repair surgery. The hernia is repaired through a cut (incision) in the belly. Open surgery is safe and effective and has been done for many years. • Laparoscopic hernia repair. A surgeon inserts a thin, lighted scope through a small incision in the belly. Surgical tools to repair the hernia are inserted through other small incisions in the belly. Laparoscopic hernia surgery may have some advantages over open surgery in certain cases. Studies show that people have less pain after this type of surgery and can return to work and other activities more quickly than after open repair. But this surgery costs more than open repair. It can take up to 4 weeks after open hernia surgery before you can begin normal strenuous activities. If you have laparoscopic surgery, you may recover sooner. You and your doctor may want to put off surgery if: • The hernia is small and you don't have any symptoms, or if the symptoms don't bother you much. • The hernia can be pushed back into the belly or it goes away when you lie down. (If it cannot be pushed back, surgery must be done sooner.) It may also be a good idea to put off surgery if: • You are pregnant. • You have other health problems that make surgery dangerous. Diagnosis of Inguinal Region Hernias with Axial CT: The Lateral Crescent Sign and Other Key Findings. Umbilical hernias large enough to contain a gravid uterus are rare. We report a case of a woman with prolapse of a gravid uterus through a previously repaired umbilical hernia. Our plans for elective surgery with caesarean section and hernia repair were foiled by poor compliance. The hernia was repaired during an. The following guidelines are intended for practitioners responsible for resuscitating neonates. They apply primarily to neonates undergoing transition from. Download-Theses Mercredi 10 juin 2015. Viral hepatitis; Micrograph showing ground glass hepatocytes, which are seen in chronic hepatitis B infections (a type of viral hepatitis), and represent. Umbilical hernia surgery recovery suggestions based upon my first hand experience, and things I wish I had known prior to surgery. Talk with your doctor before wearing a corset or truss for a hernia. These devices aren't recommended for treating hernias and sometimes can do more harm than good. There may be certain cases when your doctor thinks a truss would work, but these are rare. Your hernia may get worse, but it may not. Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through. But some small, painless hernias never need repair. • You're right. Many doctors recommend surgery because it prevents strangulation, which happens when a piece of tissue gets trapped inside the hernia and is cut off from its blood supply. • Sorry, that's wrong. Many doctors recommend surgery because it prevents strangulation, which happens when a piece of tissue gets trapped inside the hernia and is cut off from its blood supply. • It may help to go back and read 'Get the Facts.' Many doctors recommend surgery because it prevents a problem called strangulation. Key points to remember • Hernias don't go away on their own. Only surgery can repair a hernia. • Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. If the hernia is small and you don't have any symptoms, or if the symptoms don't bother you much, you and your doctor may simply continue to watch for symptoms to occur. • Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through. • Many doctors recommend surgery because it prevents a rare but serious problem called strangulation. This occurs when a part of intestine or a piece of fatty tissue is trapped inside the hernia and is cut off from its blood supply. An umbilical hernia is a bulge near the belly button, or navel. The hernia has a sac that may hold some intestine, fat, or fluid. These tissues may bulge through an opening or a weak spot in the stomach muscles. You may have had this weak spot since you were born, when muscle and other tissue around your umbilical cord didn't close properly. In adults, umbilical hernias are more common in women who have been pregnant several times, in people who are overweight, and in people who have had surgery in the belly. There are two types of hernia repair surgeries: • Open hernia repair surgery. The hernia is repaired through a cut (incision) in the belly. Open surgery is safe and effective and has been done for many years. • Laparoscopic hernia repair. A surgeon inserts a thin, lighted scope through a small incision in the belly. Surgical tools to repair the hernia are inserted through other small incisions in the belly. Laparoscopic hernia surgery may have some advantages over open surgery in certain cases. Studies show that people have less pain after this type of surgery and can return to work and other activities more quickly than after open repair. But this surgery costs more than open repair. It can take up to 4 weeks after open hernia surgery before you can begin normal strenuous activities. If you have laparoscopic surgery, you may recover sooner. You and your doctor may want to put off surgery if: • The hernia is small and you don't have any symptoms, or if the symptoms don't bother you much. • The hernia can be pushed back into the belly or it goes away when you lie down. (If it cannot be pushed back, surgery must be done sooner.) It may also be a good idea to put off surgery if: • You are pregnant. • You have other health problems that make surgery dangerous. Talk with your doctor before wearing a corset or truss for a hernia. These devices aren't recommended for treating hernias and sometimes can do more harm than good. There may be certain cases when your doctor thinks a truss would work, but these are rare. Your hernia may get worse, but it may not. Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through. But some small, painless hernias never need repair. It's time you switched to a better browser For a better, secure browsing experience, we've made the tough decision to no longer support early versions of Internet Explorer (8 and below) and Firefox (22 and below). Unfortunately these older web browsers do not support many crucial developments in online security, and therefore represent a threat to your online security, as well as the security of MNT. For the safety and security of your online experience, we strongly recommend that you switch to a more modern browser (we've provided links to a few at the top right of the page). While you will continue to be able to read MNT as normal, your actual experience may not be exactly as we intended and you will not be permitted to log-in to, or register for an MNT account. Thank you, The MNT Team. Fast facts on umbilical hernia Here are some key points about umbilical hernias. More detail and supporting information is in the main article. • Umbilical hernias are particularly common in premature babies • They are not normally painful, but if they become sore, a doctor should be consulted • Umbilical hernias in adults are more common in females than males • is a risk factor for umbilical hernias • Diagnosis of an umbilical hernia can normally be confirmed by a physical examination alone Overview What is an umbilical hernia? An umbilical hernia occurs when part of the bowel or fatty tissue pokes through an area near the belly button. Umbilical hernias are common in young infants, but the exact rate is not known because many cases go unreported and resolve themselves without the need for treatment. They are particularly common in premature babies; up to of babies born under 1.5 kilograms in weight have an umbilical hernia. While the developing fetus is in the uterus (womb), the umbilical cord passes through an opening in the abdominal wall, which should close soon after a baby is born. However, sometimes the muscles do not completely seal, leaving a weak spot through which an umbilical hernia can develop. An umbilical hernia looks like a lump in the navel, which might become more obvious when the baby is laughing, crying, going to the toilet, or coughing. When the child is lying down or relaxed, the lump may shrink. It is not usually painful. In the majority of cases, an infant's umbilical hernia closes on its own by the age of 12 months. If the hernia is still there by the time the child is, a doctor may recommend surgery. Umbilical hernias might also develop in adults, especially if they are very overweight, lifting heavy objects, or have a persistent cough. Women who have had multiple pregnancies have a higher risk of developing an umbilical hernia. In adults, hernias are much more common in females. Among infants, the risk is about the same for boys and girls. Symptoms Symptoms of an umbilical hernia There may be a soft bulge/swelling near the umbilicus (navel), ranging from 1-5 centimeters in diameter. The bulge is usually more noticeable if the baby cries, laughs, coughs, or strains. Pain - in children and infants, umbilical hernias are not usually painful. However, adults may feel pain or discomfort if the hernia is large. When to see a doctor: • The bulge becomes painful • The infant/adult vomits (and there is a bulge) • The bulge swells up more • The bulge becomes discolored • You used to be able to reduce the hernia (i.e. Push the bulge flat against the abdomen), but now it cannot be reduced without significant pain/tenderness. Risk factors Risk factors for umbilical hernias The major for umbilical hernias are: Age - infants, especially those born prematurely, have a higher risk of having an umbilical hernia than older people. Being obese - obese children and adults have a significantly higher risk of developing an umbilical hernia, compared with individuals of normal weight for their height and age. Coughing - having a cough for a long period of time increase the risk of hernias because the force of coughing applies pressure to the abdominal wall. Multiple pregnancies - when the pregnant mother is carrying more than one baby inside her. The risk of an umbilical hernia is higher if the woman has a multiple pregnancy. Causes Causes of an umbilical hernia Babies - as the fetus develops in the mother's uterus (womb), there is a small opening in the abdominal muscles allowing the umbilical cord to pass through - this connects the mother to the baby. Around the time of birth, or shortly after, this opening in the abdominal muscles should close. When this does not happen - if the opening does not close completely, fatty tissue or part of the bowel can poke through, causing an umbilical hernia. Adults - if there is too much pressure on the abdominal wall, fatty tissue or a part of the bowel can poke through a weak part of the abdominal muscle. Individuals at high risk are more likely to have higher-than-normal pressure in areas where fatty tissue or parts of the gut can protrude. Diagnosis Diagnosis of an umbilical hernia A doctor will be able to diagnose an umbilical hernia during a. He/she may also be able to determine what is protruding - what is caught in the hernia sac. If the doctor wants to screen for complications, an abdominal ultrasound, X-ray, or blood tests may be ordered. Treatment Treatments for umbilical hernia Babies and children - in the majority of cases, the hernia closes on its own by the age of 12 months. Sometimes, the doctor may be able to push the lump back into the abdomen (it is important that only the doctor does this). Surgery may be ordered if: • The hernia grows after the child is 1-2 years old • The bulge is still there by the age of 4 • If the intestines are within the hernial sac, preventing or reducing the movement of the intestines (called peristalsis) • If the hernia becomes trapped Adults - surgery is usually recommended, to prevent potential complications, especially if the hernia grows or starts to hurt. Umbilical surgery is a quick procedure. Umbilical hernia surgery is a small, to push the bulge back into place and to make the abdominal wall stronger. In most cases, the patient will be able to go home on the same day. The surgeon makes an incision at the base of the belly button and pushes either the fatty lump or bowel back into the abdomen. Muscle layers are stitched over the weak area in the abdomen wall, effectively strengthening it. Dissolvable stitches or a special glue are used to close the wound. Sometimes, the surgeon will place a pressure dressing, which remains there for 4-5 days. An umbilical hernia operation usually takes about. Complications Complications of an umbilical hernia Umbilical hernia complications are very rare in children. If the protrusion becomes incarcerated (trapped) and cannot be pushed back into the abdominal cavity, the primary concern is that the intestines might lose some of its blood supply and become damaged. If the blood supply is completely cut off, there is a risk of gangrene and life-threatening infection. Incarceration is rare in adults, but even rarer in children. Please use one of the following formats to cite this article in your essay, paper or report: MLA Nordqvist, Christian. 'Umbilical hernia: Causes, symptoms, and treatments.' Medical News Today. MediLexicon, Intl., 22 Aug. APA Nordqvist, C. (2016, August 22). 'Umbilical hernia: Causes, symptoms, and treatments.' Medical News Today. Retrieved from. Please note: If no author information is provided, the source is cited instead. Recommended related news.
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