Expert Care for Umbilical & Epigastric (Stomach) Hernias

Umbilical & Epigastric Hernias in Adults

When adults develop an umbilical or epigastric hernia, it’s caused by increased pressure in the abdomen from obesity, heavy lifting, chronic coughing or multiple pregnancies. Although not usually life-threatening, pain may get worse over time and be aggravated by activities that involve heavy lifting or straining.

In severe cases, the small intestine can protrude through the opening and lead to more dangerous health conditions. This includes a rare but serious problem called strangulation, when part of the intestine is trapped inside the hernia and cut off from its blood supply. Surgery is recommended for symptomatic umbilical and epigastric hernias that cause pain to prevent complications from occurring.

Surgical Repair of Umbilical and Epigastric Hernias

The goal of surgery is to reduce discomfort and strengthen the weakened area of the hernia. Most epigastric and umbilical hernias are repaired with surgical mesh reinforcement, using one of the following techniques:

• Laparoscopic surgery: The hernia is repaired through several very small incisions in the abdomen. This minimally invasive procedure typically results in less pain, a shorter hospital stay and a faster recovery compared to open surgery.
• Robotic surgery: Using the da Vinci robotic surgery system, the hernia is repaired through a few small incisions, with greater precision and range of motion than traditional laparoscopic hernia repair. Advantages of robotic surgery may include less blood loss, lower risk of complications and reduced pain.
• Open surgery: In some cases, your surgeon may determine that open surgery is necessary, particularly if the hernia is very large or the risk of complications is high. Open surgery is just as safe as other techniques, but usually has a longer hospital stay and recovery period.

Recovery from Hernia Repair Surgery

Umbilical and epigastric hernias can recur after surgery. It’s important to address any lifestyle factors that increase this risk, such as obesity and metabolic disorders before undergoing a hernia repair.

To reduce your risk of recurrence, maintain a healthy weight and avoid heavy lifting and any activities that strain the abdominal muscles in the weeks after surgery. Eat a high fiber diet to help keep stools soft and avoid the need to strain during bowel movements.