Umbilical hernia care

Definition

Definition

Umbilical hernia

Most umbilical hernias appears during childhood.

In the adults an increase in the abdominal pressure can cause an umbilical hernia. The possible causes understand:

  • Obesity

  • Physical work (heavy loads)

  • Chronic cough

  • Multiple pregnancies

  • Ascite: liquid in the abdominal cavity

An umbilical hernia is diagnosed during a physical examination.

Sometimes, blood tests or studies of imagery – such as abdominal echography or to scan it – are used to detect the complications.
If you take of aspirine, of the drugs anticoagulants or anti-inflammatory drugs (against arthritis, against osteoarthritis,…), you must discuss it with your surgeon and the anaesthetist, in order to schedule the temporary closing date of these drugs before your operation.

In the adult, if the umbilical hernia grows bigger or becomes painful, the surgery is generally recommended to avoid the complications: obstruction of the bowels and/or peritonitis by hernial throttling

The principle of surgical operation is to reposition fabric and its hernial bag in the abdominal cavity and to repair the opening by reinforcing the zone of weakness.
The older technique consists in putting in tension the wall by a simple joining at separate points.
The techniques without tension (“tension free”) require the interposition of a small prosthetic plate which gives a very low rate of repetition and a better post-operative comfort
There exist 2 possibilities of installation of a plate:

  • A conventional technique by incision of 6 -8cm compared to the umbilical point.

  • An intervention by laparoscopy (possible for the hernia of mean size with collet lower than 7 cm in diameter).

  • The laparoscopy has the advantage of a fast recovery of the physical-activity with post-operative month of pains.

  • This operation is well codified and of current realization. The complications are rare but can occur. The appearance of an unexpected complication (wound of an abdominal body, bleeding) or major adherences can lead your surgeon to convert into laparotomy. To modify the intervention initially envisaged makes it possible to cure the encountered difficulties.

Most people are able to return on their premises after the surgery and to take over the typical activities after four weeks.

The repetitions are possible but not very probable.