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UMBILICAL HERNIA

UNDERSTANDING THE PROBLEM

When a part or whole of an internal organ (or tissues) protrudes through weak areas of the adjoining muscles or connective tissues, the condition is termed as a hernia. Hernia occurs through the weakened area, whenever there is increased pressure or strain on it. They most commonly occur in the abdomen region.

An Umbilical Hernia is the protrusion (bulging) of abdominal contents (intestine or fatty tissue) through the umbilicus (belly button). It is usually harmless and is most commonly observed in infants.

UNDERSTANDING WHO SUFFERS
  • The congenital cause of Umbilical Hernia is due to weaknesses in the abdominal wall, near the region of the umbilicus. The weakness occurs due to a developmental defect of the abdominal wall, while the child is still in the womb. The abdominal contents protrude through this defect. The muscles strengthen with age, and the hernia usually disappears by age 1 to 2 years.
  • Umbilical Hernia in adults is mostly due to acquired causes than congenital factors. The following factors may cause the condition:
    • Surgery (usually more than one surgery)
    • Chronic increase in intra-abdominal pressure due to factors such as lifting heavy weights, cough that exist for a long period of time, and chronic constipation
    • Obesity
    • Multiple pregnancies
    • Ascites (fluid in the abdomen), which may be caused by chronic alcohol consumption
  • Umbilical Hernias are very common in infants and children, but it can affect adults too, especially adults over the age of 60.
  • The disorder is seen with equal frequency in both male and female infants.
  • However, Umbilical Hernias are more frequently observed in female adults than male adults. In adults, it is responsible for 10% of all belly hernias.
  • Statistically, it has been observed that African-Americans are more prone to Umbilical Hernias, than individuals of any other race.
  • The condition is seen worldwide
POTENTIAL SIGNS AND SYMPTOMS

The signs and symptoms due to an Umbilical Hernia may include:

  • Soft compressible swelling at the navel
  • In children, the bulge is more prominently visible when the baby cries, coughs, or strains its stomach muscles. It may disappear, when the child is quiet or lies on its back
  • The swelling is usually painless in infants, but it may cause minimal discomfort or feeling of pressure in adults
  • Redness or swelling in and around the bulge may signify that the intestine is stuck in the defect (incarceration). It may progress and cause severe pain, nausea, and vomiting, if the blood supply to intestine gets “cut off” (a condition termed as strangulation)
EXAMINATIONS USUALLY REQUIRED

The following exams and procedures may be used to diagnose an Umbilical Hernia:

  • Umbilical Hernia is diagnosed clinically on physical examination of the patient. No other special investigations are generally required
  • Evaluation of medical history in case of an adult may be required
  • Imaging studies, such as an abdominal ultrasound, may be required to check for complications
PROPOSING TREATMENT AND WHY AIMIS

Surgery for Hernia Repair

If your doctor recommends surgery for a disorder, you may be a candidate for a minimally invasive approach - da Vinci Surgery. Because it is minimally invasive, the precision of robotic technology is ideal for delicate and complex surgeries around the chest and abdomen AIMIS is an expert in Robotic Surgery for Robotic Assisted Hernia Repair including for:

Inguinal Hernia - Herniorrhaphy, Hernioplasty - Inguinal, Surgical repair with/without grafts, Femoral Hernia - Femorocele repair; Herniorrhaphy; Hernioplasty – femoral, Surgical repair with/ without grafts, Umbilical Hernia - Surgical repair with or without grafts, Ventral Hernia - Surgical repair with grafts and Hiatal Hernia - Surgical repair with/without grafts, Nissen Fundoplasty

Da Vinci Surgery uses state-of-the-art technology to assist doctors in performing a range of delicate operations for hernias and offers several potential benefits over traditional open and laparoscopic surgery, including:

  • Greater precision and Low rate of recurrence
  • Low rate of pain
  • Low conversion rate to open surgery
  • Low rate of major complications
  • Virtually scar less surgery with da Vinci Single Site Surgery®
  • High patient satisfaction
  • Reduced risk of blood loss
  • Shorter hospital stay

To see the procedures we undertake with Robotic Xi Surgery, please click here

GETTING MORE INFORMATION BEFORE MOVING FORWARD
YOU MAY HAVE QUESTIONS LIKE:
  • Can I get more information before I commit to this?
  • Can I get a second opinion from you before I commit to this?
  • How can I find out the cost before I have any obligation?
WHAT AIMIS CAN DO:

AIMIS will provide a full review, diagnosis and potential surgical options for your condition, after receiving the relevant examinations and information from you. They will also provide an estimate for your surgical procedure before you decide.

AIMIS’ mission is to the provision of “true” healthcare for those who require it. It provides world leading surgeons using state of the art procedures to optimize potential surgical outcomes, whilst taking care of all arrangements so as to allow concentration on recovery.

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AFFORDABILITY

AIMIS provide competitive prices for state of the art procedures. We also work with a large range of Insurance companies where your policy allows you to have surgery abroad.

 

FURTHER INFORMATION ON THE PROBLEM:

Complications are more common in adults than in infants. The complications of Umbilical Hernia may include:

  • Incarceration (intestine gets stuck in the Umbilical Hernia defect): It presents with severe pain and irreducible swelling (one may not be able to push back the intestine or other contents into the abdomen)
  • Incarceration can progress and cause loss of blood supply to the trapped abdominal contents (strangulation), eventually leading to death of bowel (gangrene)
  • Gangrene can result in infection into the abdominal cavity (peritonitis) and sepsis (infection of blood)
  • Complications of surgery for Umbilical Hernia may include injury to the nerves, bladder, and bowel, and infection. The hernia can also recur, though it is uncommon.
  • Typically, Umbilical Hernias in infants disappear on their own; by the time they are 12-18 months old. The physician may recommend a surgery, when:
    • The swelling becomes bigger during 1-2 years
    • The swelling does not disappear by the age of 4
    • If any complication develops such as swollen abdomen, tender to touch, vomiting, and severe pain
  • Incarcerated hernias are those which cause severe umbilical pain, tenderness, and redness. These need to be evaluated by a physician and surgically treated immediately
  • In adults, surgery is recommended for all patients to avoid complications. If Umbilical Hernia is very small, “watchful waiting” may be done for some cases
  • Following surgery, lifting of heavy objects or climbing for 1 to 2 months should be avoided
FURTHER INFORMATION ON INCREASED RISK GROUPS

In infants, some of the risk factors for Umbilical Hernias are:

  • Low birth weight
  • Premature or preterm babies
  • Children born to African American parents seem to have a higher risk
  • Babies born with certain genetic disorders, such as Down syndrome, Edwards syndrome, and Patau syndrome

In adults, some of the risk factors for Umbilical Hernias are:

  • Muscle weakening with increasing age
  • Obesity puts more strain on the abdomen muscle
  • Multiple pregnancies
  • Individuals, who have undergone multiple abdominal surgeries

In adults, the condition may be prevented by avoiding actions or activities that lead to increase in intra-abdominal pressure such as obesity, chronic cough, and lifting heavy weights.

FURTHER EXAMINATION THAT MAYBE REQUIRED OR REQUESTED

When surgery is planned, additional tests, such as imaging, blood tests, and urine exam, will be necessary.

WHY AIMIS FOR THIS SURGERY

AIMIS is an expert in Robotic Surgery for Robotic Assisted Hernia Repair including:

Inguinal Hernia - Herniorrhaphy, Hernioplasty - Inguinal, Surgical repair with or without grafts, Femoral Hernia - Femorocele repair; Herniorrhaphy; Hernioplasty – femoral, Surgical repair with or without grafts, Umbilical Hernia - Surgical repair with or without grafts, Ventral Hernia - Surgical repair with grafts and Hiatal Hernia - Surgical repair with/without grafts, Nissen Fundoplasty
and other minimal invasive procedures involving the best American and International surgeons who are experts in the field.

Da Vinci Surgery uses state-of-the-art technology to assist doctors in performing a range of delicate operations for Hernia Repair and offers several potential benefits over traditional open and laparoscopic surgery, including:

  • Greater precision and Low rate of recurrence
  • Low rate of pain
  • Low conversion rate to open surgery
  • Low rate of major complications
  • Virtually scar less surgery with da Vinci Single Site Surgery®
  • High patient satisfaction
  • Reduced risk of blood loss
  • Shorter hospital stay

Some procedures can be achieved through the belly button traditional single incision laparoscopy or da Vinci® Single-Site® Surgery. The da Vinci System features a magnified 3D high-definition vision system and flexible Single-Site instruments. These features enable your doctor to operate with enhanced vision and precision and provide virtually scar less surgery.

OTHER SERVICES PROVIDED BY AIMIS

In addition to its Innovative Healthcare, AIMIS provides seamless service along the way. From the start of your journey you'll know the best flights to take, where you'll be staying, what paperwork you will need. You will have a personal assistant assigned; from your pick up at the airport, to your accommodation, continuous assistance at your pre-consultation, through surgery and in your postsurgical care. Our Patients have said that they feel they have become "part of our family" and some even asked to stay a little longer! AIMIS is here to assist you in an all you requirements, allowing you to focus on your health and recovery.

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