Umbilical Hernia
Definitions
Umbilical hernia is a condition where the umbilical ring is open at birth, and contents from inside the abdomen “herniate” out into a skin covered sac under the bellybutton. It is a very common condition, affecting up to 15% of term babies, and is more common in premature babies, and in families with African heritage.
OUTCOMES
90% of umbilical hernias will close spontaneously by the age of 3. If the hole in the fascia is greater than 2cm, then it is slightly less likely to close by itself.
It is rare for umbilical hernias to cause any problems, and so it is generally considered safe to watch them for many years before a decision for surgery needs to be made.
DR ROB’S APPROACH
Dr Rob offers an umbilical hernia repair for children if their hernia is still present at around age 4. If the hernia is causing distress, then it can be performed earlier.
The hernia is repaired through a small incision in the skin just below the bellybutton. The skin is separated from the hernia, and the hole in the abdominal wall is closed with sutures that will eventually dissolve. Mesh is not required in hernia repairs for children. The skin is then stitched on to the muscles, and a waterproof dressing placed over the incision.
The skin does not usually need to be trimmed, and even if it looks wrinkled after the operation, it is expected to change as they grow and eventually look very normal.
POST OPERATIVE RECOVERY
Umbilical hernia repair is a day procedure, so you will be able to take your child home on the same day. You should give them Paracetamol and Ibuprofen regularly for a couple of days, but they should only be a little bit sore for a couple of days. They may shower the very next day. They should have at least 1 week off sports, with the exception of sports that generate very strong abdominal contractions (such as gymnastics, dancing, and martial arts), where they should have 2 weeks off. The sutures will all vanish, and Dr Rob will see you in clinic 1 week later to make sure your child is recovering as expected.
There is a 1% chance of the hernia coming back, and this would need a repeat operation, no sooner than 3 months after the first.
DR ROB McCUSKER
Gold Coast Children’s Surgeon
Dr Rob is dedicated to the highest quality of care and technical excellence for his patients.