Umbilical Hernia
In childhood, an umbilical hernia appears as a bulge or lump in the navel area due to a congenital defect of the abdominal wall. It may contain fatty tissue or a segment of the intestine. While lying down, the hernia may be less noticeable, but it can become more pronounced when standing, straining, or crying.
How does an Umbilical Hernia develop?
During pregnancy, the umbilical cord passes through an opening in the baby's abdominal wall. This opening is expected to close shortly after birth, but in some babies, it remains open and is only covered by skin, allowing abdominal contents to protrude through the subcutaneous opening of the abdominal wall. An umbilical hernia usually closes spontaneously without surgery. In most cases, it disappears within the first year of life. However, if it persists beyond the age of four, spontaneous closure is unlikely, and surgical repair is recommended.
How is Umbilical Hernia surgery performed in children?
The procedure is performed under general anesthesia.
During the surgery, a small incision is made below the navel to expose the subcutaneous defect in the abdominal wall, which is then closed with sutures. The incision site on the skin is closed using absorbable sutures that dissolve naturally during the healing process.
What are the benefits of surgery?
The procedure is often performed for aesthetic reasons but also to prevent the enlargement of the umbilical hernia later in life.
Are there any other treatment options?
There are no alternative treatment options for an umbilical hernia that has not closed spontaneously.
What are the possible complications of Umbilical Hernia surgery?
Complications of this procedure are rare but may include:
- Bleeding from the wound
- Wound infection – If your child's wound becomes red, painful, or starts oozing pus, contact your general practitioner or surgeon. If necessary, antimicrobial therapy may be prescribed.
- Hernia recurrence – The hernia may return, requiring another surgery.
- Bowel injury – If this occurs, the intestine is sutured during the same procedure.
- Excess skin around the navel – As your child grows, the excess skin usually becomes less noticeable.
Your surgeon will discuss potential complications and their management with you in detail.
