n infants are congenital and are quite common; they close spontaneously in most cases by the age of 2 years. Those that persist after this age are required to be repaired surgically.
In adults, this type of hernia is largely acquired, there are more common in women and in patients with any condition that results in increased intra-abdominal pressure.
Signs and Symptoms
- Bulge in the umbilical region is the main diagnostic finding in most of the cases, this bulge can enlarge upon increases in the intra-abdominal pressure or the standing position.
- Pain or vague discomfort in the region; umbilical hernias are usually not extremely painful unless incarceration or strangulation has occurred.
Generally, this type of hernias require such a small incision that laparoscopy is almost never the best option, therefore, Dr. Rosales prefers to repair them by using “open or conventional” technique.
Small defects are closed primarily, this means that no mesh (prosthetic material) is needed, the patient’s own tissues are approximated by sutures.
Defects greater than 1.1 inch (3 cm) require a “tension free repair”, this means they are closed using a prosthetic mesh (to reduce the risk of recurrence and postoperative pain).
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