Caring for Hernias Above the Belly Button: Tips and Recommendations

How should umbilical hernias above the navel be cared for?

Hello Doctor: Today, my father (71 years old) went to see a doctor due to a bulge above his navel, and it was diagnosed as a hernia in the abdominal wall.
The doctor mentioned that the incision would be small and that the intestine has not yet protruded, suggesting that he could use a supportive belt or abdominal binder for care.
However, he and my younger brother did not understand the correct product name, and I couldn't find it either, so I would appreciate your guidance.
If you could provide purchasing options, I would be very grateful.
Additionally, I would like to ask if it is still appropriate for my father to undergo hernia surgery at his age.
If surgery is necessary, what would the cost be? Thank you for your response.

xxx, 40~49 year old female. Ask Date: 2022/01/20

Dr. Li Zhonghuai reply Surgery

Hello! If the hernia is small, a simple abdominal binder can be used, which typically costs around four to five hundred NT dollars.
Generally, this applies to patients who are overweight.
For midline abdominal wall hernias, the focus is usually on umbilical hernias; other conditions may not necessarily be hernias but rather thinning of the abdominal fascia due to prolonged increased intra-abdominal pressure.
In such cases, conservative treatment with an abdominal binder is recommended.
Surgery is covered by health insurance, but for midline hernias, the use of a synthetic mesh is not advised.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2022/01/20

More Info

Caring for hernias, particularly those located above the belly button (umbilical hernias), requires careful consideration, especially in older adults. Your father’s situation, given his age of 71, necessitates a thoughtful approach to both non-surgical management and potential surgical intervention.

Understanding Hernias
A hernia occurs when an organ or tissue protrudes through a weak spot in the surrounding muscle or connective tissue. In the case of an umbilical hernia, this can happen when fatty tissue or a part of the intestine bulges through the abdominal wall or into the inguinal canal in the groin. The fact that your father's hernia has not yet caused any complications, such as incarceration (where the intestine becomes trapped) or strangulation (where the blood supply to the trapped intestine is cut off), is a positive sign.

Non-Surgical Management
For non-surgical management, the use of a supportive abdominal binder or hernia belt may be recommended. These devices help to support the abdominal wall and can alleviate discomfort. However, it is crucial to ensure that the product is appropriate for your father's specific condition. Look for a hernia support belt that is designed for umbilical hernias, as these will provide the necessary support without putting undue pressure on the area.

Recommended Products:
1. Hernia Support Belt: These are typically adjustable and provide compression to the area, helping to keep the hernia in place. Brands like "Belly Bandit" or "Hernia Solutions" offer products specifically designed for this purpose.

2. Abdominal Binder: A wider option that wraps around the abdomen, providing support across a larger area. These can be found at medical supply stores or online retailers like Amazon or Walmart.

Surgical Considerations
Regarding surgery, age alone does not automatically disqualify someone from undergoing hernia repair. However, several factors must be considered, including your father's overall health, any comorbid conditions (such as heart disease or diabetes), and his ability to tolerate anesthesia. A thorough evaluation by a surgeon, including a review of his medical history and a physical examination, will help determine if he is a suitable candidate for surgery.

Surgical Options:
1. Open Surgery: This traditional method involves making a larger incision to repair the hernia. It is effective but may require a longer recovery time.

2. Laparoscopic Surgery: A minimally invasive option where small incisions are made, and the hernia is repaired using a camera and specialized instruments. This method typically results in less postoperative pain and a quicker recovery.

Cost of Surgery
The cost of hernia surgery can vary widely based on several factors, including the type of surgery, the surgeon's fees, the facility where the surgery is performed, and whether or not the patient has insurance. On average, the cost can range from $3,000 to $10,000 in the United States. It is advisable to check with your father’s insurance provider to understand coverage options and out-of-pocket expenses.

Conclusion
In summary, while non-surgical management with a hernia support belt may be appropriate for your father at this time, it is essential to consult with a healthcare professional regarding the best course of action. If surgery is deemed necessary, a thorough evaluation will help determine the safest and most effective approach. Always prioritize your father’s overall health and well-being when making decisions about his care.

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