Diagnosis
- Most umbilical hernias do not need any treatment. Usually, the hole heals on its own by the time your child is 4 or 5 years old. Even if it does not, it will likely get smaller. That will make the surgery a bit easier.
- You might think it looks like your child needs to have an operation, but his doctor might suggest you wait to see if the problem goes away on its own. If the hole is large, they may recommend surgery before your child turns 4 or 5.
Your doctor may also suggest surgery if the hernia is:
- Painful
- Larger than half 1/2 to 3/4 inch.
- Large and does not get smaller in the first 2 years of life.
- Gets trapped or blocks intestines.
The procedure is done in a hospital or outpatient surgery center. It takes about 45 minutes, and your child will be given anesthesia and won't be awake.
The surgeon will make a small cut just below the bellybutton. If any part of the intestine pokes through, it will be put back where it belongs. The doctor will use stitches to close the hernia. They will also sew the skin under the navel to give it an "innie" look. Then, the cut will be sealed with surgical glue that will hold the edges of the wound together. It will come off by itself once the site heals.
After the procedure, your child will stay at the hospital while they recover from the anesthesia. Most kids can go home a few hours later.
After surgery
- An over-the-counter pain medication may help your little one feel better after the operation. As the baby recovers, they should avoid swimming for 5 to 10 days and sports for 2 to 3 weeks.
- Your doctor will want a follow-up visit in 2 to 4 weeks.
Call your doctor right away if your child has:
- A fever
- Redness, swelling, or pain
- A bulge near the navel
- Blod or smelly fluid near the cut
- Nausea, vomiting, diarrhea, or constipation that does not get better.
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