Dr Parthasarathy is one of the best Umbilical Hernia Surgeons in Hyderabad. In his career spanning over 15 Years he has successfully treated thousands of Umbilical Hernias.
What is an Umbilical Hernia?
A hernia or protrusion of the intestines through a defect in Umbilicus is called an umbilical hernia. Umbilicus is the technical term for belly button. Why do Umbilical Hernias happen? hernias tend to happen in the weak spot in the abdominal wall. A weak spot can be a natural weak spot or a man made weak spot like an earlier surgical scar. The belly button is the area which closes last after a baby is born because that is the point through which the baby continues to get nourishment from the mother through the umbilical cord. The belly button is not closed before birth, it closes only after the birth. Because of this reason it is always thin and a potential weak spot for hernia formation. It does not form in every patient. SOmetimes umbilical hernia can be seen in newborn babies and in the majority of them it closes on its own and if doesn't it needs to be repaired. Some people may not have a hernia at birth but during the course of their life due to repeated stretching of the tummy due to repeated pregnancies or because of extreme obesity where there is muscle weakness or because of accumulation of fluid inside the tummy especially in liver failure patients, the umbilicus scar can thin out and open up through which the hernia forms. An umbilicus is the spot through which intestines, fat and fluid can bulge out.
What are the symptoms of Umbilical hernia?
An umbilicus is usually a depressed belly button it starts bulging out, it starts looking like a marble placed on the tummy, When the patient coughs or strains this swelling can increase in size. If you ignore for a long time this swelling can gradually increase where more and more intestine start protruding through it and it can sometimes even become huge and hang like second tummy to the patient.
What is the treatment for Umbilical Hernia?
All hernias need treatment and all hernia treatments are surgical. Medicines do not cure hernias. The treatment of umbilical hernia technically is closing the defect and reinforcing it with the help of a mesh so that the repair remains robust. Traditionally the repair used to be done by open surgery where in a cut is made below umbilicus, the herniated intestine is put back into the tummy, the umbilical hole is suture closed and a patch of mesh is placed to make the repair strong. Of Late the preferred treatment for umbilical hernia is by use of a laparoscopic method where there is no cut made in the tummy, through small holes made in the side of the abdomen the hernia is pushed back, a special composite mesh is introduced into the tummy and the hokle is patched. This technique is called IPOM or Intraperitoneal Onlay Mesh Repair technique, this is one of the most preferred techniques of treatment of umbilical hernia. The reason being the pain involved in the repair is much less compared to an open repair. The chance of wound infection and the need for a drain is eliminated and the return to work from the time of surgery is very short compared to an open repair, The patient generally gets operated and is discharged within two days of the operation and within a week the patient is ready to join back his daily routine and that is why IPOM technique is the most preferred way to treat Umbilical hernias.
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