Laparoscopic Surgery

Umbilical Hernia

An umbilical hernia occurs when part of the intestine or fatty tissue pushes through an opening in the abdominal muscles near the belly button (umbilicus). This type of hernia is common in infants but can also affect adults.

Causes and Risk Factors

Infants

Congenital Weakness: The abdominal wall muscles don’t close completely around the umbilical cord.
Prematurity: More common in premature babies.

Adults

Increased Abdominal Pressure: Due to obesity, multiple pregnancies, or heavy lifting.
Chronic Coughing or Constipation: Conditions that increase pressure on the abdominal wall.
Previous Surgery: Surgical sites can weaken over time.

Diagnosis

Physical Examination

A doctor will check for a bulge in the abdominal area.

Imaging Tests

Ultrasound or CT scan may be used to assess the hernia and its contents.

Symptoms

Bulge or Lump: A noticeable bulge near the belly button, especially when crying, coughing, or straining.
Pain or Discomfort: Particularly when lifting, coughing, or bending over.
Swelling: Around the umbilicus.
Tenderness: The area may be tender to the touch.
Nausea and Vomiting: Indicating a possible complication such as strangulation.

Treatment Options

Lifestyle Changes

Maintaining a healthy weight and avoiding heavy lifting.

Surgical Repair

Recommended if the hernia is painful, large, or causes complications.

Open Surgery: An incision is made near the hernia, and the protruding tissue is pushed back into the abdomen. The abdominal wall is then repaired with sutures and possibly reinforced with synthetic mesh.
Laparoscopic Surgery: Minimally invasive approach using small incisions and a camera to guide the repair.

Trusted for care

Dr Wang and his team are respected and trusted for the care provided to their patients

Recovery After Surgery

Hospital Stay: Usually, same-day discharge or a short hospital stay.
Pain Management: Pain medications to manage post-operative discomfort.
Diet: Normal diet can usually be resumed after surgery unless otherwise instructed.
Activity: Gradual return to normal activities. Avoid heavy lifting and strenuous activities for several weeks.
Follow-up: Regular check-ups to monitor healing and address any concerns.

Risks and Complications

Infection: Signs include fever, redness, and swelling at the incision site.
Bleeding: Unusual bleeding should be reported to the doctor.
Recurrence: The hernia may recur, especially if the abdominal wall remains weak.
Chronic Pain: Persistent pain at the surgery site.
Bowel Obstruction: Rare, but possible if the hernia traps part of the intestine.

When to Seek Medical Attention

Severe abdominal pain.

Signs of infection such as fever, redness, or discharge at the incision site.

Persistent nausea or vomiting.

Difficulty passing stool or gas.

Swelling or a bulge that becomes painful and does not go away.

Long-term Management

Healthy Lifestyle: Maintaining a healthy weight and avoiding activities that strain the abdominal muscles.
Regular Check-ups: Monitoring the hernia site and overall health.
Proper Lifting Techniques: Using proper techniques to avoid straining the abdominal muscles.