Specialized Care for Restoring Abdominal Integrity
An umbilical hernia is one of the most common conditions treated in general surgery, affecting both children and adults. It is characterized by a bulge near the navel, resulting from an area of weakness in the abdominal wall through which internal tissue, usually fat or a loop of intestine, protrudes. At Aeger Prima, in Lisbon, we offer evaluation and surgical correction of this condition, aiming to eliminate discomfort, prevent complications, and restore the normality of the abdominal wall.
Although many umbilical hernias are initially painless and barely noticeable, they tend to increase in size over time, especially in situations of physical exertion, persistent coughing, obesity, or pregnancy. Surgery is, in most cases, the only effective way to definitively correct the problem, since the abdominal wall defect does not resolve spontaneously in adults.
How is the procedure performed?
Umbilical hernia surgery can be performed under general or local anesthesia, depending on the patient’s characteristics and the size of the hernia. The surgeon makes an incision near the umbilical region, carefully repositions the herniated tissue in its anatomical location, and reinforces the abdominal wall through direct suturing or the placement of a surgical mesh when the defect is larger. In certain cases, a minimally invasive laparoscopic technique may be used, allowing for smaller incisions, less postoperative discomfort, and faster recovery. The choice of technique is always individualized, taking into account the prior clinical evaluation.
Why is it important to correct an umbilical hernia?
Surgical correction is essential to prevent potentially serious complications, such as incarceration (when the herniated tissue becomes trapped and does not return spontaneously) or strangulation (when the blood supply to this tissue is compromised), situations that may require urgent surgery. In addition to preventing complications, the intervention provides lasting relief from discomfort and the feeling of heaviness or tension in the abdominal region, as well as restoring the natural appearance of the abdomen.
Benefits of umbilical hernia repair:
- Prevention of complications: avoids serious outcomes such as strangulation of the herniated tissue.
- Aesthetic result: improves the appearance of the abdominal region.
- Greater comfort: relieves symptoms such as pain or pressure near the navel.
- Lasting results: strengthens the abdominal wall, reducing the risk of recurrence.
What is evaluated during the procedure?
01. Size and complexity of the hernia:
Determines the most appropriate surgical approach for the case.
02. Tissue viability:
Ensures that the repositioned tissue remains healthy.
03. Need for reinforcement:
Decides between simple suture or mesh placement, depending on the size of the hernia.
04. Recovery follow-up:
Ensures adequate postoperative care for effective healing.
Post-operative Recovery
After surgery, some local discomfort is usually felt, controlled with simple analgesics. Most patients resume light activities within one to two weeks, but should avoid intense physical exertion, weight lifting, and abdominal exercises for four to six weeks, or as specifically directed by a doctor. Follow-up appointments after surgery allow for confirmation of good healing progress and clarification of any patient concerns.
Frequently Asked Questions
What is an umbilical hernia?
It is the result of a weakness in the abdominal wall near the navel, which allows a part of the internal tissue to protrude outwards, forming a visible bulge, more evident during exertion.
Is umbilical hernia surgery painful?
The procedure is performed under anesthesia, therefore, there is no pain during surgery. In the post-operative period, some local sensitivity is normal, controlled with medication and which gradually decreases in the first few days.
How long does recovery take?
In most cases, initial recovery takes between one and two weeks, and it is possible to resume light activities during this period, avoiding intense physical exertion for four to six weeks.
Is surgical mesh always necessary?
No. The decision depends on the size of the hernia. Small hernias can be corrected with sutures alone, while larger hernias generally benefit from the placement of a reinforcing mesh.
Can the hernia return after surgery?
There is always a residual risk of recurrence, but this is significantly reduced with proper repair and adherence to postoperative recommendations.
When should I seek urgent medical help?
Whenever the bulge becomes hard, very painful, ceases to be reducible, or nausea, vomiting, or changes in the color of the local skin occur, as these may indicate incarceration or strangulation of the hernia, requiring urgent evaluation.
Schedule a General Surgery Consultation
If you identify a bulge near your navel, or already have a diagnosis of umbilical hernia, schedule a surgical evaluation consultation at Aeger Prima in Lisbon. Our general surgery team will clarify all your doubts and indicate the best approach for your case.
What is evaluated during the procedure?
Hernia size and complexity:
Determining the best approach for repair.
Tissue viability:
Ensuring healthy tissue during the procedure.
Reinforcement needs:
Deciding between sutures or mesh based on the hernia’s size.
Recovery monitoring:
Providing post-operative care to support healing.
