Alternative treatment of umbilical hernia in adults. How to get rid of an umbilical hernia in adults without surgery

Symptoms of hernia in adults

In older people, a hernia appears slowly, starting from a small ball that protrudes only when coughing or lifting heavy objects, and is virtually invisible at rest.

Over time, such a ball increases in size and becomes noticeable to others, causing a person to feel complex. Moreover, during physical activity or heavy lifting, the hernia protrudes outward quite strongly, causing nagging pain in the patient. The patient experiences similar sensations during bowel movements, especially if he suffers from constipation. In this case, the area of ​​protrusion can still be easily pushed into place.

At a certain point, the hernia becomes so large that, bulging out, it ceases to be reduced into the peritoneal area. At the same time, the symptoms of the disease worsen. Pain occurs even with light exertion, the patient experiences constipation and difficulty urinating.

Causes of hernia in adults

In adulthood, the development of a hernia is also possible. Predisposing factors here are abdominal injuries, operations in the navel area, obesity, accumulation of fluid in the abdominal cavity, physically difficult work, as well as improper exercise in the gym with overstrain of the abdominal muscles. Even a smoker’s annoying cough can trigger a hernia.

If we talk about women, then the period of pregnancy is especially dangerous for them, when the umbilical ring of the expectant mother stretches due to the growth of the fetus, and the tissues surrounding it atrophy. The walls of the peritoneum weaken before the onslaught of intra-abdominal pressure, and therefore any physical activity during this period can provoke protrusion of the internal organs. The process of childbirth is also a critical moment, when a woman is forced to strongly strain her abdominal muscles.

Features of the operation to remove a hernia

Before operations, the doctor collects information about the patient’s condition:

• electrocardiogram;
• fluorography;
• Ultrasound of the abdominal cavity;
• Analysis of urine;
• biochemical and general blood tests;
• X-ray of the stomach;
• other tests if necessary.

To remove a hernia, the doctor may perform one of the following operations:

1. Plastic surgery using the patient's own tissues . An incision is made to gain access to the hernial sac. Dead tissue is removed. The contents of the hernial sac are reduced into the abdominal cavity. The wound is sutured by tightening the tissues of the abdominal wall and stitching them together. With such an operation, the wound takes a long time to heal and there is a high probability of a recurrence of the hernia.
2. Plastic surgery using a mesh endoprosthesis . An incision is made, dead tissue is removed, and the contents of the hernial sac are returned to the abdominal cavity. A mesh endoprosthesis of the required size is installed in the hernial orifice, which holds the internal organs and prevents the re-formation of the hernia. The mesh endoprosthesis is sewn to the walls of the abdominal cavity using medical surgical staples or suture material. In some cases, the wound is then completely sutured from the outside. Using a hernia mesh speeds up the patient’s recovery period and minimizes the occurrence of relapses. The operation can be: Open . An incision of all tissues the size of the hernia is made and steps are taken to remove the hernia.
3. Laparoscopy . 3 small incisions are made on the body, into which laparoscopic instruments are inserted, with the help of which surgical operations are performed in the peritoneum. This operation is less traumatic than open surgery and is better tolerated by the patient. But it is more complicated than open and requires higher qualifications from the doctor.

Conservative methods of therapy

Treatment is selected depending on the severity of the disease. You need to contact the clinic as early as possible, then the problem will be easier to solve. In addition, this way you can avoid surgery. And for some, surgery is contraindicated.

Massage

This is an excellent assistant for the treatment of various diseases, because it helps accelerate blood circulation. Massage has a positive effect on all metabolic processes in the body, helps improve immunity and restore damaged tissues. If an umbilical hernia appears, it is useful to perform self-massage at home. You can consult with a specialist about technology.

The principles of massaging in this case include: stroking movements are carried out exclusively clockwise, pinching in the area around the navel, rubbing the muscular system of the abdominal cavity.

Physiotherapy

Gymnastics is suitable for treating an umbilical hernia at home. A set of special exercises helps strengthen the muscles of the abdominal wall, improve blood circulation and relieve muscle spasms. The complex should be selected individually. But the contraindications are the same for everyone. Movements should not be sudden, twisting is prohibited, jumping and lifting weights are prohibited.

Exercises can be done only if the protrusion is not severe. To fix the hernia you will need an elastic corset. On average, one exercise can take up to ten minutes. You can simply raise your pelvis by bending your knees in a lying position. Turning the body in different directions while standing also helps. Breathing exercises are another helper for fighting the disease; it helps saturate the body with oxygen.

Umbilical bandage

Another conservative method of treating an umbilical hernia at home is a bandage. This is a special support belt that helps reduce the load on the abdomen and abs, which allows them to be in a calm state during the therapy period. It is useful to wear a bandage after surgery to prevent relapse. If there are any complications, especially intestinal obstruction, wearing a belt is contraindicated.

The bandage can be rigid, elastic and universal. The corset should be used in conjunction with other treatment methods. This will help you recover faster. The belt should be comfortable, and it should be worn from morning to evening.

Using the patch

This option is suitable for treating umbilical hernia at home in newborns. It is applied in a special way, so parents should learn the technique of use from a pediatrician. The patch allows the navel to be in the correct position. It also helps the hole in the umbilical ring heal faster. Today they produce very comfortable patches, consisting of two parts. Therefore, their fixation is easy to adjust.

Prices for hernia meshes

On average, mesh endoprostheses can cost:

• Absorbable - 5,000 - 17,000 rubles;
• Partially absorbable - 3000 - 10,000 rubles;
• Non-absorbable - 1000 - 5000 rubles;
• Three-dimensional - from 10,000 rubles.

You can purchase from us non-absorbable Endoprol mesh endoprostheses in the following options:

• Lungs;
• Classic;
• Heavy;
• Super heavy.

These are our products, which have long been successfully used in many Russian medical institutions.

Massotherapy

Massage for an umbilical hernia is performed by a specialist, and you can also learn from him about light movements that can be performed independently at home. With the help of massage, as with exercise therapy, you can relieve swelling and increase muscle tone. Approximate treatment regimen at home:

1. Begin the massage by stroking around the navel in a clockwise direction. The movements are made with the edge of the palm, alternating hands.
2. Then they switch to transverse movements: the fingers of the left hand are placed to the left of the hernia, and the fingers of the right hand are placed to the right. Mirror parallel movements up and down begin.
3. Proceed to stroking movements: from the sides to the middle of the abdomen, applying light pressure, apply with fingers or palm.
4. Complete the massage with light pinching of the skin in the navel area.

All movements should be careful, without intense pressure. If pain occurs, the massage should be stopped and consult a doctor.

Traditional treatments using herbs and products

An infusion of plakun herbs is used as a folk remedy for umbilical hernias.
The use of decoctions, compresses, infusions and tinctures internally and externally supports the treatment of umbilical hernia at home in adult patients. Among the methods of herbal medicine, the most effective are those taken orally:

• Infusion of weeping herb. The leaves of the plant are crushed and poured with 1 tbsp. l. a glass of boiling water. When the product has cooled, take 50 ml 3-4 times a day. If you have constipation, hypertension and gastrointestinal diseases, plakun-grass should not be taken.
• Cornflower decoction. Take 3 tsp. dried flowers and 1 liter of water, boil for 10 minutes. Strain after cooling and take 400 ml throughout the day. Cornflower decoctions are prohibited for gynecological disorders.
• Plantain seeds. Grind a few tablespoons of seeds in a coffee grinder and take ¼ tsp 10 times a day. If you have blood diseases or blood clots, you should not take this herb. The same applies to people with stomach ulcers and high acidity.
• Rhubarb decoction. Take several stems of fresh root and boil for 6 hours, take 1 glass of decoction per day.
• Tincture of shepherd's purse. Take a 3 liter jar and fill it with fresh grass, fill it with vodka and leave for 10 days. Strain and take 0.5 tsp. 3 times a day.

Another effective recipe is a decoction of aspen bark. Take 2-3 tbsp. l. crushed product and boil in 1 liter of water. Take 2 tbsp. l. 4-5 times a day.

Compresses for umbilical hernia

The course of treatment with onion compresses is 2 months.
Compresses are one of the most effective ways to treat a hernia at home in adults. The following products are used for this:

• red clay - prepared according to the recipe, applied to the sore spot until completely dry;
• oatmeal - the flakes are crushed and a thick jelly is prepared, then applied to the hernia for several hours;
• honey and nettle - fresh herbs are crushed and mixed with bee product;
• baked onion - 1 head is heated in the oven and applied to the hernia for 1 hour until it cools;
• resin - melt pine raw materials and apply to the navel;
• water with vinegar - dilute 1 tsp. 6% vinegar in a glass of water, moisten a napkin and apply to the affected area.

You can also use decoctions of hernial hernia, larch bark, and cherry branches for compresses.

Camphor oil for pathology

You can wipe the sore area with camphor oil: heat it, cool it, form a small ball and lubricate the umbilical area. Apply the ball and secure with adhesive tape. Perform over several weeks.

Metal therapy for hernia

The coin is fixed with a plaster and left for a day.
For this method, a copper coin is used. It is washed, boiled for 10 minutes, cooled and applied to the sore spot. Fix with adhesive tape and leave for a day. Then remove, wash the skin and coin with soapy water. Repeat the procedure once every 3 days.

You can use another method with copper utensils: take spoons, glasses, coasters and other metal products, soak them in a soapy solution, and boil them. When they have cooled, transfer them to cold water and leave for 1-2 days. Use water to wipe the hernia.

Treating an umbilical hernia at home is less effective than surgery. But due to contraindications, not all people can use the services of a surgeon. An integrated approach, following doctor’s recommendations and regular use of home methods can help people avoid complications and the development of a hernia.

httpv://www.youtube.com/watch?v=embed/AcxSfUYoxao

Fully or partially limited products

• Legumes, vegetables with coarse fiber (white cabbage, radishes, turnips, mushrooms).
• Fatty and stringy meat, fried foods, duck and goose meat, which are difficult to digest, strong meat and fish broths, smoked meats, canned food, mushroom decoctions.
• Fresh bread, rye, pastries, puff pastry and pastry.
• It is not advisable to consume coarse porridges made from millet, barley and pearl barley, which are difficult to digest and sometimes cause bloating; pasta is limited if tolerated, since it is also a heavy food that causes constipation.
• Carbonated drinks, beer, kvass, grape and pear juice.
• Limit spices and seasonings that cause bloating in large quantities.

Table of prohibited products

Classification of umbilical hernias

In a general sense, umbilical hernias can be congenital or acquired. Congenital is a hernia of the umbilical cord, which forms at the embryonic stage, and acquired is a hernia that occurs during the life of a child or an adult.

In an adult, a hernia can be direct or oblique. They differ in the way they bulge. A direct hernia occurs when the muscles of the transverse fascia become thin. In this case, the intestine protrudes directly through the navel. In the case of an indirect hernia, a bulge forms above the umbilical ring, in the gap between the umbilical canal and the linea alba.

Finally, hernias are divided into reducible and irreducible. For example, a strangulated umbilical hernia is considered irreducible.

Traditional treatment of umbilical hernia in children

Practice shows that traditional treatment for umbilical hernia does not actually help adults. But for young patients at the initial stage of protrusion development, some methods can provide significant assistance. Let's look at them.

Butter and propolis ointment

Having melted the butter (50 g), add propolis tincture (1 tsp) to it and mix the ingredients thoroughly. Apply the finished mixture to the area of ​​protrusion in the form of a compress, leaving it overnight, and in the morning, rinsing off the product and applying an iodine mesh.

Rhubarb root decoction

A glass of chopped herbs should be filled with water so that it covers the greens, put on the stove and simmer over low heat for 2 hours. After filtering the product, you need to take it 1/3 cup a day until the problem disappears. This product is not suitable for children under 6 years of age.

Cabbage brine and potatoes

After moistening the gauze in cabbage brine, apply it to the area of ​​the protrusion, and press it on top with a piece of fresh potato, then secure it with a band-aid. This compress should be kept for 6 hours daily.

Garlic compress

After crushing a clove of garlic to a paste, wrap it in a piece of gauze and apply it to the hernia, securing it with a bandage on top. You need to keep this compress for no more than 4 hours a day, making sure that the child does not get burned.

Applying a copper coin

This is the most popular method of treating umbilical hernia among people. Just apply a copper coin to the problem area and secure it with a band-aid, leaving this kind of compress on all night. This method has its own nuances: it is better to take a coin that was issued from the 30th to the 61st years of the last century, and even better, if before the revolution. It is believed that such coins contain more copper, which helps to quickly get rid of this trouble.

Most of the above methods use a medical adhesive tape. Gluing it to the skin will not be difficult. How can I unstick it? After all, this is a rather painful procedure for a child. But there is always a way out. A couple of hours before you are going to peel it off, you need to moisten the adhesive plaster with vegetable oil or liquid Vaseline. Don’t worry, it won’t come off until the specified time. After such manipulations, you will remove it without any problems.

Take care of yourself and your children!

Authorized Products

• Soups are prepared with vegetable broth (cereals and vegetables are pureed only for the first time). They are seasoned with butter, and you can add an egg-milk mixture.
• Dried wheat bread.
• Dishes from beef, lean pork, lamb, chicken and turkey are boiled, chopped meat is steamed or baked.
• Dishes from low-fat fish are also served boiled - in pieces or in the form of steamed cutlets.
• Buckwheat, oatmeal and rice (excluded for constipation) are boiled in water or with the addition of milk. The porridges are well boiled and pureed only for the first time after the operation, then crumbly porridges are recommended.
• Vegetables you can use are potatoes, cauliflower, zucchini, pumpkin, carrots, and beets. They are consumed boiled (first as a puree), and a little later - vegetable stew, cutlets, baked vegetables with fish and chicken. It must be remembered that a large amount of fresh vegetables causes discomfort in the intestines and bloating. In this case, you need to consume them only when they are heat-treated.
• Kefir, yogurt, other fermented milk drinks and cottage cheese should be present in the diet daily
• You can make casseroles and puddings from cottage cheese. It is advisable to exclude whole milk, as it can cause bloating, and use it as an additive to cereals, tea and other dishes. Cream and sour cream are allowed as an addition to dishes.
• Up to 1 eggs per day, boiled (only soft-boiled, since hard-boiled eggs are difficult to digest) or as an omelet.
• You need to choose fruits without coarse fiber and monitor your condition. If some cause flatulence, they are excluded from the diet. You can eat fruit puree, jelly and jelly (they are not advisable for constipation), compotes.
• Butter and sunflower oil (refined) - in dishes.
• You can drink tea with milk, fruit and vegetable juices, rosehip infusion and herbal decoctions.

Table of permitted products

Treatment of umbilical hernia in adults

For adult patients diagnosed with an umbilical hernia, surgical treatment is indicated in 100% of cases. Moreover, depending on the existing protrusion, this may be:

Tension hernioplasty

This is a traditional method of repairing an umbilical hernia, in which the defect is hidden by stretching the patient’s tissues and skin. This method is also used to eliminate hernia in children.

Tension-free hernioplasty

During this operation, the patient is fitted with a special mesh that closes the hernial opening. The patient's own tissues are not contracted.

Let us also add that hernioplasty can be performed in various ways. This can be a strip or laparoscopic operation. The second method is more preferable, as it allows the operation to be performed using 3 punctures on the skin, which minimizes postoperative complications.

By the way, if the operation is performed on a patient with obesity and a large apron of skin and fat, in parallel, abdominal surgery with navel transfer can be performed.

As for postoperative recovery, tension hernioplasty involves limiting physical activity for a period of up to 1 year. The likelihood of relapse after such an intervention is quite high. The installation of a mesh prosthesis in this regard is a more reliable operation, as it shortens the rehabilitation period to 1 month, and the number of relapses in this case does not exceed 1%.

• Diet for Constipation – Useful Tips and Recommendations
• Leaky Gut Syndrome and Hormonal Imbalance

How is implantation carried out?

There are 4 ways to install a mesh in the hernial orifice:

1. Onlay . The mesh is sewn onto the aponeurosis of the rectus or external oblique abdominal muscles, directly contacting the subcutaneous fatty tissue.
2. Inlay . The mesh is installed on the rectus or external oblique muscle, separated from the subcutaneous fat layer by the same aponeuroses.
3. Underlay . The mesh is placed behind the muscle layer, usually separated from the abdominal cavity by the transversus abdominis muscle and transversalis fascia.
4. Sublay . The mesh is located in the preperitoneal tissue, separated by the peritoneum from the abdominal organs.

The surgeon individually selects the appropriate implantation method for each patient.

In this case, it is necessary to follow the rules for installing mesh endoprostheses:

1. the hernia mesh is installed only within the aponeurotic and muscle tissues;
2. multifilament threads cannot be used to secure the endoprosthesis;
3. For mixed truncation, a non-absorbable type of mesh endoprosthesis cannot be used.

Treatment of umbilical hernia in children

Children require hernia treatment in rare cases, since this anomaly tends to self-heal with age. Therefore, doctors, given the patient’s young age, choose a wait-and-see approach.

To help strengthen the anterior abdominal wall, it is useful to regularly place the baby on his tummy, give him massages, exercise therapy and swimming. As a conservative treatment, the pediatrician may prescribe wearing a bandage or sticking an adhesive plaster to prevent protrusion. Practice shows that with the diameter of the umbilical ring not exceeding 1.5 cm, the hernia heals on its own up to 7 years.

If the baby’s hernia has reached a large size and has not disappeared by the age of 7, if the child complains of nagging pain in the navel and there is a risk of strangulation, the young patient is scheduled for surgery.

This operation is called tension hernioplasty. With it, the surgeon returns the protruding area to the abdominal cavity, removes the hernial sac, suturing the small intestine and strengthening the walls of the peritoneum so that the patient does not experience a relapse. The operation is performed under local anesthesia and takes no more than 30 minutes. There are practically no traces of the surgical intervention, and the young patient himself will be able to go home within a few hours after the operation, accompanied by his parents.

When a child’s hernia is complicated by strangulation, specialists perform an urgent operation to remove the necrotic part of the small intestine and its subsequent restoration.

Modern methods of treating hernias of the anterior abdominal wall

Hernia is a disease that has been encountered in people since the dawn of humanity and was described by ancient authors. It affects about 2.5%-8% of the population. It is a disease associated with the movement of internal organs through “weak” spots in the abdominal wall. It is customary to distinguish between congenital and acquired hernias, which are classified according to the location of the hernial protrusion (umbilical, inguinal, femoral, white line of the abdomen, etc.).

The main factor in the formation of a hernial protrusion is the expansion of “weak” spots in the anterior abdominal wall, which occurs due to the anatomical features of the body or associated with the influence of pathological factors (weight lifting, increased intra-abdominal pressure, chronic constipation, cough, obesity).

This disease not only causes cosmetic defects, but also leads to unpleasant sensations in the form of pain, aggravated by physical activity, dyspepsia, rumbling, which often causes a decrease in a person’s activity, a decrease in his ability to work, and a deterioration in the quality of life.

The main danger is the complications that develop with hernias. This includes the development of adhesions in the abdominal cavity, the irreducible nature of the hernial protrusion, and the most dangerous complication - strangulation of the hernial protrusion, which can lead to necrosis of the strangulated organ, the development of intestinal obstruction, and peritonitis.

This complication entails emergency surgery, putting the patient and surgeon in a difficult position. The question arises: is it worth putting your life and health in danger? Perhaps it would be better to treat this disease under planned, “calm” conditions, having prepared for surgery in advance?

Surgical department of medical

There are many different ways to close hernia defects. Conventionally, they can be divided into two large groups: tension and non-tension hernioplasty (non-tension hernioplasty). The first group involves closing the defect with one’s own tissues by creating duplicates with multi-layer suturing of the defect. This technique is traumatic and is accompanied by a high percentage of relapses (up to 30%), which is associated with the inability to eliminate the defect of the anterior abdominal wall due to tissue weakness. The second group is more modern, less traumatic and more reliable, since it uses mesh grafts and there is no effect of tension on already weakened tissues. It is this method (tension-free hernioplasty) that is preferred by the surgeons of our medical center.

The most common hernias of the anterior abdominal wall are umbilical, inguinal hernias, hernias of the white line of the abdomen and postoperative hernias.

An umbilical hernia is a disease that develops due to the expansion of the umbilical ring. There are congenital and acquired hernias. Today, the most common and reliable umbilical ring plastic surgery is also considered non-tension plastic surgery. Using this method, the hernial sac is immersed in the abdominal cavity at the aponeurosis (a section of muscle located where muscle fibers pass into tendon fibers), after which a polypropylene mesh is placed, which is sutured with a continuous suture around the perimeter of the hernial orifice.

Hernia of the white line of the abdomen - this disease is associated with weakness of the white line of the abdomen (aponeurosis between the rectus abdominis muscles), protrusion of the hernial protrusion above or below the umbilical ring. Surgeries for hernias of the white line of the abdomen are carried out by our specialists using the method of tension-free hernioplasty.

Postoperative ventral hernia is a consequence of a previously performed laparotomy. Hernial orifices occur as a result of divergence of the muscular aponeurotic layer along the incision. The “gold standard” for surgical treatment of this type of hernia today is tension-free repair, which we have already written about above, using a modern polypropylene graft, which is placed both under and above the aponeurosis of the anterior abdominal wall.

Inguinal hernia is a disease associated with the formation of a hernial protrusion that passes through the inguinal canal, due to the expansion of the inguinal ring and weakness of the walls of the inguinal canal. Direct and oblique inguinal hernias are distinguished according to the relationship of the hernial protrusion to the elements of the spermatic cord. There are many different “traditional” methods of strengthening the anterior and posterior walls of the inguinal canal with one’s own tissues (method of Girard-Spasokukotsky, Kimbarovsky, Bassini, Postemsky, etc.).

Modern surgical interventions for hernias of the anterior abdominal wall (in most cases for inguinal hernias) can be divided into the following types:

• performed using traditional access ( Liechtenstein , Trabbucco ) (Fig. 1);
• interventions using video surgical techniques (laparoscopic hernioplasty).

Lichtenstein plastic surgery – strengthening of the posterior wall of the inguinal canal using a mesh graft without any tissue tension. Surgery is usually performed under local and spinal anesthesia, which facilitates early rehabilitation and rapid recovery in the postoperative period (patients return home the next day). The author of the method performed more than 1000 operations for inguinal hernias (1989). No relapse was noted. Therefore, this method of plastic surgery has become most widespread in the surgery of inguinal hernias.

The Trabucco technique uses a more rigid mesh, in contrast to Liechtenstein (for example, the Italian-made Hertra mesh). This technique is a non-suturing type, when a rigid graft is placed in the tissues, closing and strengthening the hernial orifice. It is characteristic that with this technique tissue trauma is also minimal. It is used in patients with both direct and oblique inguinal hernias, umbilical hernias, hernias of the white line of the abdomen and is a reliable, affordable method of treating hernias, providing excellent immediate and long-term results. Depending on the indications and extent of the surgical intervention, the process is carried out under local, intravenous (TIVA), spinal or general anesthesia with artificial ventilation (ALV).

Modern materials used in our medical center for hernias are non-toxic, elastic, sterile, non-carcinogenic, and biologically compatible with human tissue. We use both high-quality domestic and imported materials (ETHICON Johnson & Johnson, HERNIA-MATE (Italy)).

Recovery time

Recovery time, rehabilitation, relapse rates and complications are significantly lower than when using traditional methods. According to our data, the percentage of complications and relapses is no more than 1% of observations. Within 2-3 days, our patient returns to his normal lifestyle, sports are possible 30 days after the operation, traces after surgery disappear after 2-3 months, only a thin cosmetic post-operative scar remains.

Before surgery

After consultation with a specialist from our medical center regarding surgical intervention for a hernia, the patient is assigned an examination plan and a date for surgery.

Preoperative examination plan:

1. Consultation with a therapist.
2. ECG.
3. General blood analysis.
4. MOR.
5. Blood type, Rh factor.
6. Blood glucose.
7. Coagulogram.
8. Markers of hepatitis B and C, HIV.
9. Fluorography.
10. Blood biochemistry (total protein, total bilirubin, ALT, AST, creatinine, urea).

If necessary, the patient will be scheduled for further examination (additional consultation with specialists). The patient should be sure to inform the attending physician and anesthesiologist about chronic diseases and medications taken before surgery.

It is strongly recommended not to take alcoholic beverages, psychotropic and narcotic drugs 3-4 days before surgery. The last meal should be the day before surgery. The patient is hospitalized several hours before the operation. The patient is provided with a comfortable room, personal hygiene items, towels, and slippers.

After operation:

1. After the operation, the patient is under the supervision of the attending physician and nurse anesthetist.
2. After some types of operations, after 3-4 hours the patient will be able to walk independently.
3. There may be slight pain in the postoperative area, which can be relieved by administering an anesthetic.
4. The patient is given antibiotic prophylaxis and thrombus prevention.
5. The next day after the operation, dressing is performed (using modern dressing material - “Cosmopor”), which is performed by the attending physician. The stitches are removed after 10-12 days.
6. The decision to wear a bandage is made by the attending physician.
7. If necessary, the patient can always contact the attending physician by phone.

Why is it worth undergoing treatment for an umbilical hernia in a medical clinic:

1. Our medical center employs experienced and highly qualified surgeons and nursing staff with extensive experience in such operations.
2. Experienced anesthesiologists at the medical center use modern pain management techniques.
3. The clinic’s specialists use the most modern techniques and materials from European manufacturers.
4. All operations are performed in a short-term hospital and do not require long-term bed rest.
5. Based on our experience, the rate of complications and relapses is no more than 1%.

We greet all patients with warmth and care and assign each one an individual attending physician. It is for all these reasons that undergoing hernia treatment in Krasnodar at our medical center is the right decision!

specialist Ask a question

Make an appointment with a doctor

Make an appointment

Ask a question

Symptoms of hernia in children

If we talk about congenital umbilical hernia, then this is one of the factors of severe fetal pathologies that are actually incompatible with life. In an embryo with such a defect, as a rule, ectopia of the bladder, ectopia of the heart and underdevelopment of the pubic symphysis are found. A child born with such defects, as a rule, dies on the 3rd day from pneumonia, peritonitis and sepsis. Cases of survival are rare and are the exception.

Doctors give a much more favorable prognosis in the case of an acquired hernia. In a child, this problem most often appears in the first year of life and is rather a cosmetic defect. The hernia does not cause discomfort, is not prone to strangulation, and does not provoke other serious health problems.

A small bulge, within 1–3 cm in diameter, appears when the baby strains, coughs forcefully or cries, and at rest it becomes almost invisible. In the area of ​​bulging, you can notice the presence of pigmentation. If this problem is not dealt with at a tender age, as the child grows older, he or she may face severe manifestations of a hernia.

However, over the years, a child rarely develops a strangulated hernia. But if this complication does develop, it can be noticed by a change in the color of the protrusion, bloating, nausea and vomiting, as well as severe pain in the navel area. This is a dangerous phenomenon that can threaten the baby with the development of intestinal obstruction, and then necrosis of part of the intestine.

Sexual relations after surgery

Many patients who have undergone hernioplasty are embarrassed to ask about the timing of resuming sexual relations after the operation. If little time has passed after the operation, sex can lead to undesirable consequences - increased swelling, pain in the area of ​​the postoperative wound, hematomas (bruises) and even bleeding, the development of wound infection, cutting of sutures and displacement of the mesh graft. You can resume sexual relations 12-14 days after surgery, if movements do not cause pain, and in men there is no severe swelling of the scrotum. The next day, the absence of pain in the postoperative wound, discomfort, increased swelling, and increased body temperature indicates that the relationship can be continued in the same preoperative mode, observing some caution. First of all, strong tension should be avoided, as well as exposure to pressure on the area of ​​the postoperative wound.

Physiotherapy

To avoid having to remove the hernia through surgery in the future, you should pay attention to physical activity. It is thanks to them that it is possible to strengthen muscles and improve blood circulation.

The load is determined individually, but even for men it should be moderate. In addition, it is recommended not to start exercising on your own, but to visit a physiotherapy office and find out whether it is possible to cure a hernia using only exercise therapy.

The following exercises have a positive effect on the condition of patients with this disease.

To obtain a pronounced effect, all possible methods should be used. Only a combination of traditional medicine with massage, gymnastics and wearing a bandage will give a pronounced and, most importantly, lasting result.

The umbilical hernia will be discussed in the video:

httpv://www.youtube.com/watch?v=embed/Vf9t7whhYng

Causes of navel protrusion

An umbilical hernia can occur in both women and men. Quite often it occurs in infancy. Childhood pathology is associated with the fact that the child cries for a long time, and this leads to overstrain of the abdominal cavity.

It happens that a child is born with weakened organs. Protrusion can be provoked by the consumption of alcoholic beverages or antibiotics by a pregnant woman.

In the adult population, other reasons are noted:

• pregnancy and difficult childbirth;
• obesity and genetic predisposition;
• hard physical labor;
• sudden lifting of weights with a sedentary lifestyle;
• chronic constipation;
• scarring of tissue in the navel area that occurs after surgery.

Symptoms

At the initial stage, an umbilical hernia may be asymptomatic.
Only with a careful examination can a slight protrusion be detected. As the pathology progresses, the hernia increases in size, which becomes noticeable to the naked eye.

If the patient coughs violently or lifts an excessive weight, pain and nausea may occur. At this stage, the hernial sac can be pulled inward, so treatment is carried out non-surgically.

Further, the patient’s urination and bowel movements are disrupted, constipation and excessive pain appear. The person experiences frequent vomiting and rapid growth of the hernia.

In this case, it becomes impossible to push the pouch inside, which is why surgery is used.

Metal therapy in treatment

It is necessary to clean the surface of the copper as much as possible

Please note that the coin should be processed on both sides. It is also necessary to make several through holes, which will increase the effectiveness of treatment

All surfaces must be perfectly smooth so as not to injure the skin. Now the nickel can be used. To do this, it is applied to the hernia and fixed with a plaster. The coin is left on the skin for 24 hours.

After this time, you should remove it and wash your skin with soap and water. The presence of greenish spots indicates that the metal has reacted. You need to repeat the procedure after 2-3 days, but you are allowed to use the same coin.

The use of a copper coin can reduce the protrusion of a hernia

In addition to this method, you can use another one. For this you will need any copper items. They should be cleaned and filled with water. After it has been infused for three days, it can be used to treat the skin in the area of ​​protrusion.

Menu (Power Mode)

Restrictions apply only during the first month. Then the diet gradually expands. Breakfast can consist of porridge with water or milk porridge, which, if desired, can be supplemented with mild cheese or cottage cheese, an omelet or a boiled egg. The choice of soups is large - vegetable, cereal, borscht and cabbage soup can be consumed if cabbage is well tolerated. You can add separately cooked chicken meat and meatballs to soups. Meat and fish dishes can also be diversified by baking the products. Remember that any oils should be consumed in their natural form in prepared dishes.

Causes of infant umbilical hernia

Umbilical hernia is quite common in newborns and children under 5 years of age. This is due to the fact that the umbilical ring in some children can grow together very slowly, as a result of which a free cavity remains for some time under the healed navel, in which blood vessels were located before birth. When babies cry, intra-abdominal pressure increases, a loop of intestine falls into this cavity and the navel involuntarily protrudes. The greatest likelihood of an umbilical hernia occurring is in babies with a restless character, that is, those who like to scream.

Frequent constipation also contributes to the appearance of umbilical hernia in children, when the child has to frequently and for a long time strain the abdominal muscles to empty the intestines.

In old age, hernias are often not operated on, so you can use folk remedies to treat hernias.

Causes and symptoms

The cause of the disease is the divergence of the abdominal muscles in the umbilical region, which can be caused by several factors:

Excessive exercise can lead to an umbilical hernia.

• Excessive physical activity;
• Carrying a child;
• Uncontrolled weight gain;
• Rapidly developing tumors;
• Difficulty defecating (constipation);
• Accumulation of fluid in the peritoneal cavity.

The size of the formation can range from 2-3 to 20 cm in diameter. A small umbilical hernia usually does not cause any discomfort to the patient, except for aesthetic reasons. It is easily and painlessly adjusted into the navel on its own and is practically invisible in the lying position.

If the disease progresses, the umbilical hernia increases in size and provokes the following symptoms:

• Constipation;
• Nausea;
• Pain in the navel area even with minor physical exertion.

Painful sensations also appear when trying to push, laugh, cough, and simply in movement.

In case of acute pain, local fever, signs of intoxication, refuse treatment of an umbilical hernia with folk remedies and immediately call an ambulance.

Rehabilitation period

With open surgery, the patient's recovery period lasts longer than with laparoscopy, since the operation affects more tissue.

After open surgery:

1. The patient remains in the hospital for one to two weeks.
2. For the first 5-7 days, the patient is treated with stitches and bandaged.
3. The patient wears stitches for 2 weeks.
4. For the first six months, the patient is prohibited from physical activity, standing for long periods of time, or lifting and carrying loads of more than 5 kilograms.
5. After 8 months or later, the patient is prescribed physical therapy to restore and strengthen the abdominal muscles.

After laparoscopic surgery:

1. The patient remains in the hospital for 3-7 days.
2. Within 3-7 days, the patient’s wounds are treated and bandaged.
3. The stitches are removed after a week.
4. For the first six months, the patient is prohibited from physical activity, standing for long periods of time, or lifting and carrying loads of more than 5 kilograms.
5. After 8 months, the patient is prescribed physical therapy to restore and strengthen the abdominal muscles.

Causes of hernia in children

Very often this problem appears in newborn babies. The fact is that after the umbilical cord falls off, the navel opening begins to close and become overgrown with connective tissue. Normally, this process is supported by the abdominal muscles. But if a newborn has a hereditary weakness of the abdominal muscles, there is a high probability that the baby will develop an abdominal hernia.

The occurrence of protrusion in a baby is facilitated by constant constipation, severe crying or increased gas production. This is especially true for premature babies.

Often, an umbilical hernia develops in a baby at the moment when he begins to walk, especially if the baby begins to stand on his feet early, and the abdominal muscles are still too weak. In addition, doctors include Down syndrome, Harler syndrome, congenital hypothyroidism, intestinal dysbiosis and lactase deficiency as risk factors for the development of umbilical hernia.

Reviews and results

The diet contains time restrictions. Subsequently, patients switch to their usual diet, but limit foods that cause bloating and monitor regular bowel movements. Reviews from patients indicate that eating light food and taking it in small portions has a beneficial effect on the state of the gastrointestinal tract as a whole.

• “... I operated on a hernia 3 months ago. Now I am very afraid of a relapse, and after the operation I began to take care in all respects - I diet and do not lift weights. I strictly adhered to this diet for about 2 months, then I began to expand the amount of vegetables and cereals, but I still don’t eat fatty or fried foods (I’ve already forgotten about fried potatoes). I excluded sweets, honey and jam, because I had noticed before that they made me bloat. In 2 months I lost 3 kg, but now it has stabilized”;
• “... I’ve had a hernia for many years, but I don’t want to have surgery. I wear a brace if I have to do more or less hard work and stick to a diet. For me, the most important thing was to get rid of constipation, since straining is strictly forbidden. I can easily cope with this by adding prunes and beet salads to my food every day, and I also need to drink a lot. I also noticed that constipation occurs from pasta and cottage cheese - I eliminated the former completely, and eat cottage cheese in moderation twice a week. I'm used to steamed cutlets and meatballs. I realized that proper nutrition is the most important thing for my illness”;
• “... They performed an operation because the hernia was strangulated. I was in the hospital for a long time because my intestines became inflamed. In this regard, I was told to follow the diet for at least 2-3 months. They warned me not to overeat in the future and to avoid severe bloating and constipation. I maintained the diet normally, and I think that it is no different from a normal diet, only there are no baked goods, few sweets, and I had eaten legumes very rarely before. The only difference is that all meat and fish dishes are boiled or baked; fried pies and pancakes are not allowed, but you can do without it.”

Unconventional methods of treatment

When it was possible to identify the disease in the early stages of development and the hernial sac has not yet formed, then you can resort to the methods offered by traditional medicine. Also, with the help of herbal infusions and lotions, it is permissible to alleviate the patient’s condition in situations where surgical intervention is impossible. These include:

Last trimester of pregnancy; Exacerbations of chronic diseases; Pulmonary and heart failure.

Folk remedies used by adherents of alternative medicine for umbilical hernia:

• Lotions, compresses, rubbing;
• Decoctions and infusions for oral administration;
• Massages;
• Diet.

Healers use prayers and spells to eliminate the problem described. The effectiveness of such treatment is not explained in any way by science, but it does not cause harm. If you sincerely believe in the effectiveness of prayers, then you will resort to this method, but only using other folk remedies for umbilical hernia in combination.

Types of mesh for hernia

According to the degree of resorption, medical meshes for hernia treatment are:

1. Absorbable . Over a certain period of time they dissolve in the human body. When using these endoprostheses, it is necessary to take into account that the time for complete wound healing and patient recovery is less than the time for resorption of the mesh endoprosthesis. There is a risk of relapse after complex operations.
2. Non-absorbable . They do not dissolve in the human body at all. Such an endoprosthesis stays in the human body all his life and does not interfere with it in any way. Over time, they become overgrown with muscle tissue, as they have sufficient porosity. Most commonly used in medicine. The most reliable, with minimal risk of re-development of the hernia. They are produced, for example, by the Volot company.
3. Partially absorbable . After muscle tissue builds up, it is partially resorbed in the body.

By form:

1. Simple one-dimensional ones . They represent a grid that is in the same plane.
2. Complex three-dimensional . A mesh consisting of 3 flaps located in different planes. The structure of the three-dimensional mesh is such that one flap is applied on the inside of the hernial orifice, and the other on the outside, and they are connected by a flap rolled into a cylinder, which fills the hole itself.

By coverage:

1. Drug coated . Coated with a substance that prevents infection and promotes rapid wound healing.
2. No drug coverage . No drug coverage.

By thickness:

1. Lungs . Meshes with a thickness of 0.32-0.44 mm with a monofilament diameter of 0.09±0.01 mm. Intended for reconstructive surgical plastic surgery after removal of hernias of various locations, in cases where the tissues do not experience increased stress and/or their own tissues are in satisfactory condition, as well as for strengthening wounds.
2. Classic . Meshes with a thickness of 0.45-0.70 mm with a monofilament diameter of 0.12±0.01 mm. Intended for reconstructive plastic surgery of the anterior abdominal wall after removal of a hernia, for damage to the diaphragm and chest wall, for soft tissue defects, as well as for strengthening traumatic and surgical wounds.
3. Heavy . Meshes with a thickness of 0.65-0.99 mm with a monofilament diameter of 0.14±0.02 mm. Used to treat giant ventral hernias. They are used on areas of soft tissue that have greater mobility and are subject to increased stress.
4. Superheavy . Meshes with a thickness of 0.65-0.99 mm with a monofilament diameter of 0.16±0.02 mm. Used in the most severe cases when the highest strength is required.

Early stage of the disease and the use of compresses

The hernia is located under a thin layer of skin. It is for this reason that quite often treatment with folk remedies involves the use of lotions and all kinds of compresses. The following tips will help reduce the umbilical defect:

The protrusion is wiped with a napkin, which is pre-moistened in water with the addition of vinegar. To obtain the effect, a teaspoon of 6% solution per glass of water is enough. After such a bath, you can apply gauze soaked in oak decoction. It is not the infusion that is especially effective, but the tincture of wine.

Vinegar compresses are used to treat an umbilical hernia.

• Hernial has an excellent effect. The herb is evaporated in water and then applied to the sore spot. The duration of such a compress is no more than half an hour.
• A fairly common method of treatment is to make compresses from a decoction on larch bark. To obtain the effect, you can do up to three procedures per day.
• There are also more accessible methods, for example, a decoction of cherry branches. This method will not only increase muscle tone, but also relieve inflammation.
• Salt lotions also have a positive effect on the condition of the hernia. To do this, salt is poured into a cloth bag and tied. After this, it should be moistened and immediately applied to the protrusion. This will help relieve pain and slightly reduce the size of the hernia.
• Turpentine lotions do a good job. To avoid harming yourself, you should be especially careful about the dosage. For 50 milliliters of milk you can add no more than 6 drops of turpentine. This compress will not cause skin burns.

The use of honey shows good results in the treatment of hernia

• Without surgery, you can cure a hernia with honey. To do this, one spoon of natural honey should be spread evenly over the skin over the hernia. Next, the composition is covered with paper on top. For warmth, you can use a regular towel, but you can fix it all with a scarf.
• You can supplement honey compresses with an iodine mesh. To do this, every morning after taking a shower, apply a pattern to dry skin with a cotton swab dipped in an iodine solution.
• If you have an umbilical hernia in adults, you can make your own ointment. To do this you will need butter, a teaspoon of propolis and a container for melting the butter. The ingredients are mixed. Used to lubricate the skin over the hernia before going to bed. In the morning, the skin is washed and dried.

Application of iodine mesh is used as an addition to honey compresses

At the early stage of the disease, folk remedies practice the widespread use of compresses, which can reduce a minor defect, promote keratinization and strengthen the thin layer of skin covering the protrusion. Hernia compresses are the most common, frequently used alternative therapy.

The arsenal of components used to make compresses is quite wide and varied. For compresses and lotions, vinegar and turpentine are used, salt, which is moistened and tied in a fabric bag to the hernia, honey, insulated and fixed on top with a warm bandage, a decoction of cherry branches or larch bark.

A particularly effective effect will be obtained from a herb called hernia, which is steamed in water and then applied to the sore spot for half an hour. A homemade ointment made from butter and propolis can stay on the hernia overnight, after which it is washed off with water and the affected area is wiped dry.

There is also a less inconvenient method of metal therapy, which consists of soaking any copper object in water for three days, after which the resulting infusion is used for compresses on the navel. The widespread practice of treatment is with compresses made from sauerkraut juice, in which the area of ​​the lotion is covered with a fresh potato cut.

Treatment with compresses and applications, according to adherents of such methods, can not only reduce the risks associated with pathology, but also contribute to its complete disappearance. The main goal of such therapy is to prevent microbial damage to the thin skin of the hernial formation, prevent (or treat) inflammatory processes, and strengthen the affected area of ​​the anterior abdominal wall. For the same purpose, the patient wears a special bandage or support bandage.

Such products can only be used if certain precautions are taken to avoid rupture of the hernia skin due to careless handling, damage caused by the use of low-quality products, and the occurrence of individual allergic reactions characteristic of herbal preparations

Hernia reduction

Using a patch to reduce an umbilical hernia
A protrusion can be corrected at home, especially if it concerns a child. For adults, things are more complicated - you cannot do without the help of a health worker. A hernia can be repaired only after diagnosis using ultrasound and x-rays. If organs get into the hernial sac, you can worsen your health and provoke strangulation.

The doctor can correct the protrusion by visiting your home. To do this, he gently moves the hernial sac into place and applies a plaster. Patients are often advised to wear a bandage after the procedure. You need to be prepared for the fact that reduction in adults is not always an effective method.

Bandage and patch for hernia

To permanently remove an umbilical hernia at home, you need to resort to complex methods. Bandage and plaster – necessary procedures:

• the support bandage is put on so that it secures the umbilical ring;
• wear the accessory no more than 7-8 hours a day during physical activity;
• It is best to use an elastic or universal bandage;
• put it on a thin T-shirt or bare body.

Complications of umbilical hernia

If the prolapse of part of the esophagus does not force the patient to see a doctor and agree to surgery, there is a high probability of the following complications:

Infringement

If the protruding part of the intestine becomes pinched in the opening of the navel, the patient will immediately feel it through acute pain. In addition to pain, a person suffers from nausea, vomiting and developing constipation. Blood does not flow to the strangulated area, and therefore literally after 2-3 hours necrotic processes begin in it. At the same time, the pain increases, and the patient’s well-being worsens. After about 8 hours, the wall of the small intestine finally dies and the patient begins to develop peritonitis. And this is a threat of death.

Intestinal obstruction

With this pathological condition, the part of the intestine caught in the hernia becomes clogged with feces, which causes caprostosis. This condition poses a serious danger, because if the patient is not helped within several hours, he may vomit (including fecal vomiting), and then severe intoxication of the body will develop, which will turn into peritonitis.

irreducible hernia

In this case, the hernial contents merge with the hernial sac in the area of ​​passage through the navel. This condition can occur without pronounced symptoms for quite a long time, but in the end it is still complicated by coprostasis and partial intestinal obstruction. In addition, irreducible hernias are often strangulated, which creates a danger to the patient’s life.

• Cancer of the Rectum and Colon - Symptoms Signs Stages Diagnosis and Treatment
• 15 Killer Diseases - Foods That Help Beat Cancer

Complications

Possible complications when using meshes for surgical treatment of a hernia can arise in cases where the operation was performed incorrectly - an infection got into the wound, the endoprosthesis was poorly installed, the mesh was chosen of the wrong size.

If the operation is performed incorrectly, the following complications may occur:

• possible occurrence of extrusion and adhesions when the mesh is displaced;
• development of infections, suppuration and fistulas when germs or bacteria enter during surgery;
• discomfort when installing a larger mesh than necessary;
• relapse when installing a mesh that is smaller than necessary;
• bleeding due to insufficient wound suturing and improper installation of the endoprosthesis.

If the mesh endoprosthesis was installed correctly, then there should be no complications after the operation.

Despite the fact that the mesh endoprosthesis is hypoallergenic, in very rare cases the patient’s body may not accept the mesh and react to it with inflammatory and allergic reactions. In this case, the patient may experience vomiting and general intoxication of the body.