Umbilical Hernia Repair
Also known as: umbilical hernia surgery or navel hernia repair
An umbilical hernia is a hernia sac that forms from the abdominal lining. It pushes through a weak spot in the abdominal wall, specifically at the belly button.
What is an umbilical hernia?
An umbilical hernia is a hernia sac that forms from the abdominal lining. It pushes through a weak spot in the abdominal wall, specifically at the belly button. This condition often results from the incomplete closure of the umbilical opening after birth, which can lead to a noticeable bulge near the navel, especially during activities that increase abdominal pressure.
While many umbilical hernias in infants close naturally by age five, adult umbilical hernias typically require medical attention. Grasping the intricacies of umbilical hernias lays the foundation for effective management and treatment.
Symptoms of Umbilical Hernias
Symptoms of umbilical hernias can vary widely. Some individuals may experience no symptoms at all, while others might feel discomfort or pain, particularly during physical activities. In adults, symptoms can include abdominal discomfort and a noticeable bulge in the belly button area, which becomes more pronounced during activities like straining or lifting heavy objects.
Awareness of these symptoms helps in seeking timely medical advice, preventing complications like incarceration or strangulation.
Differences Between Umbilical and Epigastric Hernias
Umbilical and epigastric hernias, though both are types of abdominal wall hernias, differ in their location and cause. Umbilical hernias occur at or near the belly button, often resulting from a weakness in the abdominal wall. In contrast, epigastric hernias develop in the midline of the abdomen, typically between the umbilicus and the sternum, and are usually caused by a weakness in the abdominal muscles.
Causes and Risk Factors
The development of umbilical hernias can be attributed to various causes and risk factors. Increased abdominal pressure is a significant contributor, and understanding these factors can help in preventing and managing the condition effectively.
Several common causes can lead to the development of umbilical hernias. These include:
- Obesity, which is a primary factor as excess weight puts additional strain on the abdominal wall
- Chronic coughing, which can increase abdominal pressure
- Heavy lifting
- Multiple pregnancies
Hospital fee guide price: £2,065
Procedure price subject to bespoke quotation
*Additional consultant fee not included
Before surgery
Accurate diagnosis is crucial for effectively treating and managing your umbilical hernia. This usually involves a combination of physical examinations and imaging techniques to confirm the presence and extent of your hernia. By diagnosing early, you can prevent complications and ensure timely intervention.
During your physical examination, your doctor will assess your abdominal area for any visible bulges, especially when you strain or cough. The examination may include palpation to determine if your hernia is reducible, meaning it can be pushed back into your abdominal cavity. During your consultation, you will discuss your medical history, the details of your suggested treatment, and any concerns with your surgeon. This consultation includes a review of your overall health, instructions on medication adjustments, and dietary guidelines to follow before surgery.
This consultation is crucial for planning your surgery and addressing potential issues beforehand.
Imaging techniques, such as abdominal ultrasound and CT scans, play an important role in diagnosing your umbilical hernia. Ultrasound, being a non-invasive method, is particularly useful in detecting hernias that might not be visible during a physical examination. These techniques provide detailed images of your abdominal area, aiding in accurate diagnosis and treatment planning.
Various treatment options are available for managing your umbilical hernia, ranging from non-surgical approaches to different surgical techniques. The choice of treatment depends on the size of your hernia, symptoms, and your overall health.
For small and asymptomatic umbilical hernias, watchful waiting may be a suitable approach. This involves regular monitoring of your hernia without immediate surgery, allowing you to avoid unnecessary risks associated with surgical procedures. However, it is crucial to remain vigilant for any changes or symptoms that may necessitate surgical intervention.
Surgical repair is the definitive treatment for your umbilical hernia, particularly to prevent complications like pain, obstruction or strangulation of the herniated tissue.
Preparing for surgery
Proper preparation is crucial for a smooth umbilical hernia surgery and recovery. This involves a thorough preoperative consultation and following specific pre-surgery instructions to minimise risks and ensure the best outcomes. Losing weight, getting as fit as you can a stopping smoking are all ways you can minimise complications of the surgery that may lead to the hernia coming back.
Being well-prepared can make a significant difference in the surgical experience and recovery process. Patients are typically advised to stop eating and drinking after midnight the night before surgery, with exceptions for necessary medications. You might be advised to stop certain medications, such as blood thinners and anti-inflammatory drugs, several days before the procedure to reduce the risk of complications.
During surgery
General anaesthesia is commonly used for umbilical hernia repairs, ensuring that patients are unconscious and pain-free during the procedure.
The surgical procedure begins with a small incision at the base of the belly button, allowing the surgeon to access the hernia. Using either open or laparoscopic techniques, the surgeon will then reposition the herniated tissue back into the abdominal cavity and repair the defect using sutures or a mesh patch for reinforcement. This method ensures a robust repair and reduces the risk of recurrence.
Mesh versus Suture Repair
In umbilical hernia repair, the choice between mesh and suture repair depends on the size and complexity of the hernia. Suture repair involves stitching the muscle layers together, suitable for smaller hernias, but has the downside of having a higher rate of further hernia. Mesh repair, which uses a synthetic patch to reinforce the abdominal wall, is preferred for larger or complex hernias due to its lower recurrence rates, however mesh is not without potential complication.
Both techniques have their benefits, and the decision is often made based on individual patient factors. and will be discussed with you by the surgeon involved in your care.
After surgery
Postoperative care is critical for a smooth recovery after umbilical hernia surgery. This involves managing pain, monitoring for complications, and gradually resuming normal activities. Following proper care guidelines can significantly improve long-term outcomes.
Immediate Post-Surgery Care
After surgery, patients can expect some soreness and tenderness around the surgical site, which can be managed with painkillers provided by the hospital. Bruising and tenderness are common but typically resolve within a week.
It is essential to monitor the surgical site for signs of infection, such as redness, discharge, or increased pain.
Long-Term Recovery
Long-term recovery from umbilical hernia surgery generally involves a gradual return to normal activities within a few weeks. Patients are typically advised to avoid heavy lifting and strenuous activities for about four to six weeks to allow the abdominal wall to heal properly.
Gentle exercises like walking are encouraged to promote healing, while those with physically demanding jobs may need to take additional time off work.
Potential Complications
While umbilical hernia surgery is generally safe, being aware of potential complications can help in early detection and management. Complications can range from minor issues like infections to more severe problems that may require additional medical intervention.
Knowing these risks ensures patients remain well-prepared and vigilant during recovery.
Several factors can influence the prognosis of umbilical hernia repair. The size of the hernia defect, presence of comorbid conditions such as obesity or chronic cough, and smoking habits all play significant roles in recovery outcomes. Managing these factors before and after surgery can enhance overall recovery and reduce complications.
Umbilical hernia repairs have a high success rate, often exceeding 95%, with many patients reporting substantial improvements in their quality of life. Mesh repairs are particularly effective, offering lower recurrence rates compared to suture repairs.
Post-surgery, patients generally experience significant relief from symptoms and a marked enhancement in daily activities.
Appointment and Treatment Plan
Appointment
Based on your previous consultation with a doctor, an appointment will be arranged between you and your surgeon.
Treatment plan
During this appointment, you’ll go through your medical history, the surgery, the recovery, and together, you’ll decide whether this is a viable option for you.
Pre-op assessment
If surgery is an option, then the surgeon and their team will thoroughly assess whether you’re right for the surgery. They’ll consider your current health, any previous issues, and other external matters.
Surgery
Prior to going through the surgery, our team will ensure that you’re prepped once again. If everything is confirmed, you’ll undergo the surgery and then we’ll explain the aftercare instructions.
Aftercare
If necessary, you’ll stay in a ward for a few hours to ensure that you’re ready to go home after the surgery. However, this may depend on the surgery outcome and whether you need moderate or light assistance.
Follow-Up
You’ll come in a few weeks later and we’ll give you one final check-over to ensure that you’re on track for recovery.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
We offer 3 ways to pay for your treatment
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Our payment options are designed to offer you easy access to our treatments and services. You can choose to pay on the day, spread the cost, or use your private medical insurance.
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Whether you pay in advance, spread the cost, or use your private medical insurance, rest assured you will be receiving exceptional care 365 days a year.
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Many of our treatments have a pay monthly option that allows you to spread the cost of your treatment over 12 months with no credit checks required.
A minimum spend of £300 does apply. We’ll take your first payment upfront and then arrange a direct debit for your monthly payments thereafter. It’s that simple.
Pay using PMI
We are recognised by all major health insurance companies and with our extensive range of services, there are lots of benefits to using your insurance with us. Our patient services team is here to answer any questions you may have about using your private health insurance with us.
Please bring along your policy details including your scheme details, membership or policy number, expiry date and confirmation of eligibility to claim (i.e. your authorisation number). If you do not have these details with you, we will require payment from you on the day. Patients are liable for any amounts not settled by their insurer.
Hospital fee guide price: £2,065
Procedure price subject to bespoke quotation
*Additional consultant fee not included
FAQs
Surgery is recommended to prevent complications like pain or strangulation of the herniated tissue.
The surgery is typically performed under general anaesthesia.
Patients can expect to manage discomfort, care for their surgical site, and most will resume normal activities within a few weeks.
No, private medical insurance is not necessary; self-pay patients can access care without it.
Preparation involves a detailed review of medical history, instructions on eating and medication adjustments, and an explanation of the surgery.
Medically reviewed by Mr Alastair Windsor - OSD Healthcare Medical Director and Consultant Colorectal & General Surgeon on 21/11/2024