Umbilical Hernia in Adults: When Surgery Is Needed

An umbilical hernia appears as a bulge at or near the belly button, where the abdominal wall is naturally a little weaker. While common in babies (and often resolving on their own), in adults they don't tend to close by themselves.

Why they form

In adults, raised pressure inside the abdomen contributes — factors include being overweight, multiple pregnancies, heavy lifting and fluid in the abdomen. The result is a soft bulge that may be more obvious when coughing or straining.

When to treat

Small, symptomless umbilical hernias may be monitored. Repair is recommended if it's enlarging, uncomfortable, or at risk of complication. As with other hernias, they tend to grow over time.

The operation

Repair can be open or keyhole. Small defects may be closed with sutures; larger ones are reinforced with mesh. It's frequently a day-case procedure.

Recovery

Expect to take it easy for a week or two and avoid heavy lifting while you heal. Most people are back to normal activities within a few weeks.

This article provides general information and is not a substitute for individual medical advice. Please consult a qualified clinician about your own circumstances.