How is a Paraumbilical hernia repaired?
Your surgeon makes a cut near your belly button. They place the bulging contents back inside your abdomen and remove the hernial sac. The weak spot is then closed using strong stitches or a synthetic mesh and the wound closed using dissolvable stitches or surgical glue.
Where is the incision for umbilical hernia repair?
A curved incision placed superiorly or inferiorly about the umbilicus is most commonly used (figure 1). A vertical incision that curves around the umbilicus may be necessary for very large hernias. The umbilicus proper should be retained in the skin flap. The incision is made to the hernia sac.
What is Mayo’s repair?
The traditional Mayo repair consists of a vertical overlap with adjacent aponeurotic structures. A curvilinear transverse incision is made in a natural skin crease and should not exceed 180°. Additionally, an elliptical incision can be used for large hernias that require excision of excess skin.
Does Paraumbilical hernia increase in size?
Over time para-umbilical hernia tend to increase in size and become more uncomfortable. Most of the time the hernia will be diagnosed based on clinical examination findings and no furthers tests are required.
How is a Paraumbilical hernia diagnosed?
Hernias are usually diagnosed during a physical examination by a health care provider. The provider will look and feel for a bulge or swelling in the belly button area. The swelling may be more noticeable when a baby cries and may get smaller or go away when a baby relaxes or rests on its back.
What is the difference between an umbilical hernia and a Paraumbilical hernia?
A direct or true umbilical hernia consists of a symmetric protrusion through the umbilical ring and is seen in neonates or infants. Indirect umbilical (paraumbilical) hernias protrude above or below the umbilicus and are the most common type of umbilical hernia in adults.
Where is a Paraumbilical hernia located?
A paraumbilical (or umbilical) hernia is a hole in the connective tissue of the abdominal wall in the midline with close approximation to the umbilicus. If the hole is large enough there can be protrusion of the abdominal contents, including omental fat and/or bowel.
What is mesh used in hernia repair?
Hernia mesh, also known as surgical mesh, is a medical device used to support damaged tissue around a hernia while it heals. During hernia surgery, the hernia mesh is placed across the damaged area in the upper stomach, abdomen or groin and attached with sutures.
How serious is Paraumbilical hernia?
If abdominal contents get incarcerated (or stuck) in the hole this can cause pain. If the abdominal contents become strangulated by losing their blood supply from pinching or twisting those tissue will die. If it is omental fat this will cause pain and could potentially lead to an infection.
What causes a Paraumbilical hernia?
An umbilical hernia in adults usually occurs when too much pressure is put on a weak section of the abdominal muscles. Potential causes include: being overweight. frequent pregnancies.
Is a Paraumbilical hernia serious?
Paraumbilical hernias occur in adults and appear above the umbilicus. Although they are generally small, they usually need repairing because there is a risk of intestines contained within them becoming strangulated.