Hernia repair, umbilical (child)

If your child has an umbilical hernia, a surgery can fix it.

What is an umbilical hernia?

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An umbilical hernia is a lump at the umbilicus (belly button). The abdominal cavity contains the intestines and other structures. These are protected by the abdominal wall, which is made up of four layers. The inner layer is a membrane. The second layer is a wall made of muscle. A layer of fat separates the muscle from the outer layer of skin.

Weak spots can develop in the layer of muscle, resulting in the contents of the abdomen, along with the inner layer, pushing through the abdominal wall. This produces a lump called a hernia.

What are the benefits of surgery?

Your child should no longer have the hernia. Surgery should prevent your child from having any of the serious complications that a hernia can cause in adult life, and allow them to return to normal activities.

Are there any alternatives to surgery?

It is unusual for an umbilical hernia to cause serious problems such as the bowel getting stuck in the hernia. So, it is safe, in children, to see if the hernia will close without surgery. If your child is over 3 years old and they still have an umbilical hernia, the hernia is unlikely to close.

What does the procedure involve?

The operation is performed under a general anaesthetic and usually takes about an hour. Your surgeon will make a small cut around half of the umbilicus and close the opening in the tough layer of the abdominal wall with strong stitches.

What complications can happen?

Like all surgical procedures, there are some levels of risks to consider. Some of these can be serious and can even cause death. However, you can speak to your doctor about the following general and specific complications that may worry you.

General complications of any operation

  • Pain
  • Bleeding
  • Infection of the surgical site (wound)
  • Unsightly scarring of the skin

Specific complications of this operation

  • Developing a lump under the wound caused by stitches, or a collection of blood or fluid
  • Injury to structures within the hernia that come from the abdomen
  • Unsightly appearance, as the skin of the umbilicus may continue to stick out

How soon will I recover?

They should be able to go home the same day. Your child should be able to return to school after a week but for 6 weeks should not do strenuous exercise. Most children make a full recovery.

Summary

An umbilical hernia is a common condition. If your child is over 3 years old, surgery is recommended to prevent serious complications that can happen in adult life. To find out more, call us on 0808 101 0337.

 

Acknowledgements

Authors: Mr Shailinder Singh DM FRCS (Paed. Surg.), Mr Jonathan Sutcliffe FRCS

Illustrator: Medical Illustration Copyright © Medical-Artist.com

What to do next

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