Umbilical Hernia Repair
Surgical closure of a defect in the umbilical ring, typically performed in children when hernias persist beyond age 4-5 years.
Full Definition
Umbilical hernia repair involves surgical closure of a persistent defect in the umbilical ring that allows intra-abdominal contents to protrude. Most umbilical hernias in children close spontaneously by age 4-5 years, so surgical intervention is typically reserved for persistent defects, incarcerated hernias, or very large defects. The procedure involves reduction of hernia contents, excision of the hernia sac, and primary fascial repair. In children, mesh reinforcement is rarely necessary. Complications include recurrence, infection, and rarely, injury to intra-abdominal structures.
Usage
Usage note: Always document hernia size and whether primary repair or mesh was used.
In Context
- "Umbilical hernia repair was scheduled after the defect failed to close by age 5 years." — Surgical consultation note
- "The 2-cm umbilical hernia was repaired primarily without mesh reinforcement." — Operative report