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Paraumbilical and Umbilical Hernia Repair

A natural weakness occur in the wall of the abdomen, behind the para umbilicus and umbilicus, which is affected by the way babies develop in the womb. This makes it easy for tissue from the abdomen to push through the wall, causing a hernia.

Treatment

The most common and popular treatment for a hernia is surgery. An operation is the quickest way to repair a hernia, particularly if the bulge is growing bigger. Timely surgery also preempts any serious complications that can accompany inguinal hernia. Sometimes, the hernia can be controlled with a padded belt called a truss. However, a hernia will not go away without surgery. 

The surgery can involve any anesthetic techniques depending on the situation. The surgeon makes an incision in the abdomen and simply removes the ‘hernia sac’. The muscle layer is strengthened with sutures. A synthetic mesh will also be used to fortify the weak spot. The operation usually lasts for about three-quarters of an hour. 

In children below 4 years of age, umbilical hernias tend to reverse on their own. Older children will require surgery to repair the hernia.

Surgery

The operation to repair paraumbilical and umbilical hernias is usually conducted under general anesthesia and is usually over in about half an hour. The surgeon makes a cut on the hernia and frees the ‘hernial sac’. The surgeon will make an incision around the paraumbilical or umbilical and remove the hernia. The weak spot through which the tissue pushed through to create the hernia is closed with stitches and could be reinforced with a synthetic mesh.

Complications

General side effects that may afflict the patient are the same as those after other hernia fixing surgeries. More serious complications may include:

  • Development of a lump at the surgery site
  • Injuries to nearby abdominal structures
  • Removal of the umbilicus

Recovery

Patients are generally discharged the same day. Convalescence may take between two to four weeks depending on the extent of surgery, after which you can resume normal activities. Check with the surgeon before the operation about how much you can exercise. For the first few days, increasing how much you walk is recommended. Occasionally the hernia can recur