Caring for Hernia Above the Navel: Tips and Surgical Considerations for Seniors

How should umbilical hernias above the navel be cared for?

Hello Doctor: Recently, my father (71 years old) visited a doctor due to a bulge above his navel, which 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.
He suggested that my father could wear some kind of support belt or abdominal binder for care.
However, he and my younger brother couldn't understand the exact 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 my father, given his age, is still a suitable candidate for hernia surgery.
If surgery is necessary, what would the cost be? Thank you for your response.

xxx, 40~49 year old female. Ask Date: 2022/01/23

Dr. Chen Ronghong reply Surgery

Hello, if you do not wish to undergo surgery for an abdominal wall hernia temporarily, you may consider using a "hernia belt" to increase the support of the abdominal wall.
Hernia belts can be purchased at medical supply stores.
They can only reduce the likelihood of the intestines protruding, but cannot completely prevent it, so it is still important to check the hernia sac daily for any enlargement, especially if the sac becomes tight or if abdominal pain occurs.
It is recommended to use it only for a short period, as it is more appropriate to schedule surgery when possible, since the abdominal wall tends to weaken with aging, and hernia sacs usually gradually enlarge.
This is especially true for individuals with chronic cough, constipation, or urinary difficulties, which can increase intra-abdominal pressure and make the hernia worse.
As for the suitability for surgery, a comprehensive assessment is necessary for an accurate decision; age alone is not a contraindication.
Hernia surgery is covered by health insurance, with only partial costs for hospital fees or out-of-pocket expenses for medical materials.

Reply Date: 2022/01/23

More Info

When caring for a hernia above the navel, especially in seniors like your father, it is essential to understand both the management options and the surgical considerations involved. A hernia occurs when an organ or tissue protrudes through a weak spot in the abdominal wall, and in your father's case, it is located above the navel.

Non-Surgical Management
For individuals who are not experiencing severe symptoms, non-surgical management may be appropriate. Your father's doctor suggested using a supportive device, often referred to as a hernia belt or abdominal binder. These devices can help provide support to the abdominal wall and may alleviate discomfort. When looking for a hernia belt, you can search for terms like "inguinal hernia support belt" or "abdominal binder" online or at local medical supply stores. Many reputable online retailers, such as Amazon or medical supply websites, offer a variety of options. It is crucial to ensure that the belt fits properly and provides adequate support without being overly tight, as this could cause additional discomfort.

Surgical Considerations
Regarding surgery, age alone is not a disqualifying factor for hernia repair. However, your father's overall health, any comorbid conditions, and the severity of the hernia will play significant roles in determining whether surgery is advisable. Hernia repair surgery is generally considered safe for seniors, particularly if they are in good health. The procedure can be performed using minimally invasive techniques, which typically result in smaller incisions, less postoperative pain, and quicker recovery times.

The surgical options include open repair and laparoscopic repair. In laparoscopic surgery, small incisions are made, and the surgeon uses a camera to guide the repair, which often results in a shorter recovery period. The decision on which method to use will depend on the specific characteristics of the hernia and the surgeon's expertise.

Costs and Recovery
The cost of hernia surgery can vary widely based on factors such as the healthcare facility, the surgeon's fees, and whether the procedure is performed on an outpatient basis or requires hospitalization. In the United States, the total cost for hernia surgery can range from $3,000 to $10,000 or more, depending on these factors. It is advisable to check with your insurance provider to understand coverage options and out-of-pocket expenses.

Post-surgery, recovery times can vary. Most patients can return to light activities within a few days, but it may take several weeks to resume more strenuous activities. Your father should follow his surgeon's postoperative care instructions closely, which may include avoiding heavy lifting and gradually increasing activity levels.

Conclusion
In summary, while your father may benefit from using a hernia support belt for symptom management, it is essential to consult with his healthcare provider to determine the best course of action regarding surgery. If surgery is deemed appropriate, it can be performed safely in older adults, with various options available to minimize recovery time and discomfort. Always ensure that any decisions made are in consultation with his healthcare team, who can provide personalized advice based on his health status and the specifics of his hernia.

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