Umbilical Hernia - adult umbilical hernia Information , Umbilical Hernia repair, surgery,symptoms,picture
Umbilical Hernia - Umbilical Hernia Information
An umbilical hernia is a small defect in the abdominal fascial wall in which fluid or abdominal contents protrude through the umbilical ring. The presence of a bulge within the umbilicus is readily palpable and becomes more apparent when the infant cries or during defecation. An umbilical hernia:
Is usually present at birth but may not be noticed right away. A hernia usually isn't noticeable until the umbilical cord stump falls off, which usually occurs a few days to a few weeks after birth.
The actual size of the umbilical hernia is measured by physical examination of the defect in the rectus abdominis muscle, and not by the size of the umbilical bulge. The size of the fascial defect can vary from the width of a fingertip to several centimetres.
Embryologically, the cause of an umbilical hernia is related to the incomplete contraction of the umbilical ring. The herniation of the umbilicus is a result of the growing alimentary tract that is unable to fit within the abdominal cavity. Umbilical hernias are more prevalent in females than in males and are more often seen in patients with African heritage. In the past, some parents use to tape a coin over the umbilical bulge, however, manual compression does not have an effect on the fascial defect.
Umbilical Hernia symptom
The increased frequency of umbilical hernias has also been attributed to premature babies, twins and infants with long umbilical cords. There is also a frequent association with disorders of mucopolysaccharide metabolism, especially Hurler's Syndrome (gargoylism).Most umbilical hernias are asymptomatic; the decision to repair the umbilical hernia in the first years of life is largely cosmetic and is often performed because of parental request, not because of pain or dysfunction.
- The main symptom of an umbilical hernia is a soft bulge under the skin of the navel, or umbilicus.
Usually is most noticeable when your child sits or stands, or while straining during normal activities such as crying, coughing, or having a bowel movement.
- Typically, it is least visible while your child lies quietly on his or her back.
Umbilical Hernia treatment by Umbilical Hernia Surgery, Umbilical Hernia Repair
Treatment of umbilical hernia is observation. Most umbilical hernias spontaneously close by age two, with 90% closed by age three and 95% closed by age five. However, Umbilical Hernia Surgery is recommended if the hernia has not closed by the age of five.If a large defects (> 2cm) remains after the age of 2, spontaneously repair in unlikely and may be closed surgically. The incidence of incarceration (trapped intestinal loop) is rare, even in larger defects.
Females should especially have their umbilical hernia corrected before pregnancy because of the associated increased intra-abdominal pressure that could lead to complications. The procedure is simple and incidence of complication such as infection is extremely rare. The Umbilical Hernia Repair is usually done as outpatient surgery under general anesthetic.