English: umbilical hernia
Medical: umbilical hernia
The therapy that is used for umbilical hernia depends heavily on the age at which it occurs and on its size.
In the case of small children with an umbilical hernia, nothing is usually done, as it carries only a very low risk of entrapment and normally resolves spontaneously.
However, if, for example, excessive crying of the child and the resulting high pressure in the abdomen prevents the hernia from sliding back into the abdomen, it is possible to give the infant a sedative.
With its help, it can relax and the umbilical hernia will slide back. If the umbilical hernia does not go away on its own in a child, it is initially not treated surgically but with bandages. Only if the umbilical hernia persists until after the 3rd year of life or causes severe pain beforehand, an operation will also be necessary in children. However, this is a minor operation, as the repair here (as with adults with only a very small defect) only takes place by over-sewing.
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In adults, the regression no longer happens spontaneously. The defect in the abdominal wall must be closed surgically to prevent entrapment. This is done with the help of an umbilical hernia surgery (umbilical hernioplasty). The incision is made either vertically through the navel or along the edge of the navel. The umbilical hernia is then shown together with its hernial port and the hernial sac. Then the skin of the hernial sac is peeled off. Then the hernial sac and its contents can be relocated back into the abdominal cavity.
The hernial port must be stably closed, whereby the doctor has various techniques available (purse-string sutures, U-sutures, backstitch sutures, etc.). If the hernia gate was more than 3cm in size, additional stabilization should take place with a plastic net to prevent repeated rupture.
During an emergency operation after an entrapment, those intestinal sections that have died due to the inadequate blood supply must be removed. To do this, the entire abdomen must be opened.
Following an umbilical hernioplasty, the patient should expose himself to as little physical stress as possible for at least six weeks. This means that he should refrain from heavy physical activity and sport and should also refrain from excessive pressing, as can often occur during bowel movements, for example.
In addition, it makes sense to pay special attention to nutrition during this time, because excess weight increases the pressure in the abdominal cavity but also because constipation or flatulence due to an incorrect diet may lead to a relapse (relapse). In the event of a larger break, the affected area can be supported by an abdominal bandage for compression.
As a rule, the operation / operation is carried out on an outpatient basis under short or local anesthesia. In the case of an entrapment or known serious previous illnesses, it should be carried out in an inpatient setting.
Also read our topic: Pain after umbilical hernia surgery
At Umbilical hernias (Umbilical hernia) a distinction is made between those in Newborn or infant age occur and those that develop in adulthood. Umbilical hernias occur in newborns, when after severing the umbilical cord the umbilical ring does not shrink quickly enough or is overgrown by new tissue. Especially in children who are born prematurely, this process takes longer, so in premature babies very many children have an umbilical hernia. But even in full-term children, an umbilical hernia is not unusual. However, it is just as little a cause for concern, as it usually closes itself off over time.
In adults, the umbilical hernia has other causes. This is particularly important excessive pressure in the abdominal cavity a role. If this pressure is increased over a longer period of time, the tissue in the area of the navel can no longer withstand this pressure sufficiently and the navel can "break". Accordingly, this is one of the main risk factors for an umbilical hernia Obesity.
Also Pregnancies are a cause of umbilical hernias as these also cause increased pressure in the abdomen.
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$config[ads_text3] not foundAlso one Accumulation of water in the abdominal cavity, the so-called Ascites (Dropsy), presses against the abdominal wall and can lead to an umbilical hernia. Ascites can be a symptom of various diseases, it occurs for example in the context of Liver disease on.
Since the Umbilical hernia in the infant is usually innate, it cannot be prevented.
In adults, the only way to prevent it is to avoid risk factors. Above all, that means as much as possible Obesity and to prevent inappropriate physical exertion.
The The prognosis for infants and young children is very good, because the umbilical hernia, with the exception of a few exceptional cases, takes a complication-free course and heals on its own by the age of two.
In adults, there is a much higher risk of entrapment, which has a high rate of complications. Becomes a Umbilical hernia However, if discovered and operated on early, it can be treated well and the patient should look after the Operation / OP take it easy for about six weeks, but apart from a small scar, there is no permanent damage.
Of the Umbilical hernia refers to the protrusion through a gap in the abdominal wall in the area of the navel and is a very common finding.
In infants it usually resolves spontaneously, in adults the umbilical hernia should be operated (OP) because there is a high probability that it will Intestinal parts in the hernial sac get caught, which can lead to severe pain and in the worst case to death of the tissue.
In the majority of cases, a complete cure can be achieved through the operation.
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