Do I Need Surgery for an Umbilical Hernia?

An umbilical hernia occurs when tissue, most commonly part of the intestine or fatty tissue, pushes through a weak spot in the abdominal wall near the belly button. While umbilical hernias are often associated with infants, they are also common in adults and can worsen over time if left untreated.

If you have noticed a bulge near your navel or are experiencing discomfort in that area, it is natural to wonder whether surgery is necessary. The answer depends on your symptoms, overall health, and the risk of complications.

At Core Surgical, patients receive individualized evaluations to determine the safest and most effective treatment plan based on their specific condition and lifestyle.

Common Signs and Symptoms of an Umbilical Hernia

Umbilical hernias in adults often develop gradually. Some are painless at first and discovered during a routine physical exam, while others cause noticeable symptoms.

Common signs include:

• A visible bulge or swelling near the belly button
• Discomfort or pressure, especially when coughing, lifting, or standing
• Aching or burning sensations at the hernia site
• Pain that worsens with physical activity

In many cases, the bulge may flatten when lying down and become more pronounced when standing or straining. Over time, symptoms often increase as the hernia enlarges.

Who Is at Higher Risk?

Adults are more likely to develop umbilical hernias when increased pressure weakens the abdominal wall. Risk factors include:

• Obesity
• Pregnancy or multiple pregnancies
• Chronic coughing
• Heavy lifting
• Previous abdominal surgery
• Ascites or fluid buildup in the abdomen

Studies estimate that umbilical hernias account for up to 10% of all abdominal wall hernias in adults, making them a relatively common condition.

Possible Complications If Left Untreated

Not all umbilical hernias require immediate surgery, but delaying treatment can increase the risk of complications. The most serious concerns include:

• Incarceration: This occurs when herniated tissue becomes trapped and cannot be pushed back into the abdomen. Incarcerated hernias often cause persistent pain and discomfort.
• Strangulation: Strangulation is a medical emergency. It happens when the blood supply to the trapped tissue is cut off, leading to tissue death. Symptoms may include severe pain, redness or discoloration at the hernia site, nausea, vomiting, and fever.

While strangulation is uncommon, studies suggest that adult umbilical hernias carry a higher risk of incarceration and strangulation than some other hernia types, which is why surgical evaluation is often recommended.

When Is Surgery Needed?

Surgery is typically advised when:

• The hernia causes pain or discomfort
• The bulge is increasing in size
• Daily activities are affected
• There are signs of incarceration or strangulation
• The hernia does not reduce when lying down

Unlike some pediatric hernias, adult umbilical hernias do not resolve on their own. Surgical repair is the only definitive treatment and is often recommended even for minimally symptomatic patients to prevent future complications.

Surgical Options: Open and Laparoscopic Repair

At Core Surgical, both open and laparoscopic hernia repair techniques are offered, depending on the size of the hernia, patient anatomy, and overall health.

Open hernia repair involves a small incision near the belly button to reinforce the abdominal wall, often with mesh for added strength.

Laparoscopic hernia repair uses small incisions and a camera-guided approach, which may reduce postoperative pain and speed recovery for appropriate candidates.

Advances in surgical technology have significantly improved outcomes. Hernia repair today has a high success rate, with low recurrence when performed by experienced, board-certified surgeons.

Expert Care at Core Surgical

At Core Surgical, the mission is to provide the highest level of personalized surgical care. As a group of board-certified surgeons with over 50 years of combined clinical experience, the team applies proven expertise to every case.

Areas of specialization include:

• Hernia repair
• Sports hernia repair
• Groin pain and pelvic pain
• Sports-related groin and pelvic injuries

By utilizing both open and laparoscopic techniques, along with advanced medical technology and innovative surgical approaches, Core Surgical is committed to achieving the best possible outcomes for patients.

Contact the NYC Hernia Specialists

If you have an umbilical hernia, surgery may not be urgent, but it is often necessary. Early evaluation allows for planned treatment rather than emergency surgery and helps reduce the risk of complications. A consultation with our experienced surgical team at Core Surgical can provide clarity, peace of mind, and a clear path forward tailored to your needs. Call today to schedule your appointment.