How to do umbilical hernia surgery

Umbilical hernias in infants and children are commonly treated with continuous compression fixation in the early stages. Adult umbilical hernia according to the surgical access, divided into simple suture repair, open repair and laparoscopic repair. 1. Infants and young children umbilical hernia early commonly used commemorative elastic waistband continuous compression and immobilization treatment, so that the hernia sac to maintain a continuous state of invagination, accelerate the healing of the umbilical defect. The earlier the infant umbilical hernia compression treatment, the shorter the treatment course, the better the treatment effect. For infants and young children umbilical hernia, regardless of the size of the umbilical ring, if there are no special circumstances, early should be taken non-surgical treatment, such as the hernia sac is larger, observation until after the age of 4 years, if not healed, then surgical treatment. 2. Simple suture repair: Use simple interrupted suture or eight-way suture. A 3~4cm curved incision is made at the umbilical cord, and the hernia sac is bluntly peeled off around the umbilical cord. The hernia sac is peeled away from the umbilical cord and skin to avoid skin breakdown. After freeing the hernia sac, the hernia sac can be opened to examine the contents. 3. Open Patch Repair: The patch can be placed at the Onlay, Inlay, Sublay, and Underlay (anterior rectus abdominis, interrectus abdominis, posterior rectus abdominis, and posterior transverse abdominal fascia, respectively) levels. There is no one level that is necessarily better than the other, and it needs to be tailored to the patient’s specific situation. The choice is based on the surgical approach and advantages and disadvantages of each repair technique. 4. Laparoscopic techniques, umbilical hernia this adhesion is mostly not serious. After loosening the adhesions and returning the hernia contents, the size of the defect is measured intraperitoneally, and the appropriate patch is chosen to cover a 5cm area in each direction. The defect can be closed with intraperitoneal sutures or with a hook and loop. The patch needs to be properly secured, either with sutures, staple gun, medical glue or a combination of these techniques. Consult a medical professional for specific advice.