Paraumbilical Hernia
What Is a Paraumbilical Hernia?
A paraumbilical hernia occurs when tissue from inside the abdomen pushes through a weakened area of the abdominal wall close to the belly button.
The weakness forms next to the umbilicus, allowing part of the bowel or small intestine to protrude through the opening and create a visible bulge or lump beneath the skin.
This condition is closely related to an umbilical hernia, which occurs directly through the opening left by the umbilical cord. Umbilical hernias are common in babies, whereas paraumbilical hernias more often develop in adults as the tissues around the stomach weaken over time.
Several factors can contribute to the development of this type of hernia. Increased pressure within the abdomen can stretch weakened tissue and allow a hernial sac to form.
This pressure may occur during pregnancy, with weight gain, or through repeated strain. Over time, the opening can widen and the protruding tissue may become more noticeable.
Common risk factors include:
-
Weakness in the abdominal wall near the umbilicus
-
Being overweight, which increases pressure within the abdomen
-
Smoking
-
Pregnancy, which stretches the muscles around the belly button
-
Previous abdominal operation close to the navel
-
Repeated strain from heavy lifting or physical work
-
Persistent coughing or conditions that increase pressure in the abdominal area
What are the Symptoms of a Paraumbilical Hernia?
Paraumbilical hernia symptoms can vary depending on the size of the hernia and the tissues involved. Many people first notice a soft swelling near the belly button, which may become more prominent when standing, coughing, or straining.
Common symptoms include:
-
A visible bulge or lump close to the umbilicus
-
Mild discomfort or pain around the belly button
-
A feeling of pressure in the central abdomen
-
Tenderness when the area is touched
-
Symptoms that become more noticeable after activity
In some situations, the bowel may become trapped within the hernial sac. This can lead to specific complications, including restricted blood supply or obstruction of the small intestine.
These complications may cause increasing pain, swelling, or nausea and require urgent medical attention.
Diagnosis is usually straightforward. A surgeon or healthcare professional can often identify the hernia during a physical examination. Occasionally, imaging may be used to confirm the diagnosis or assess the contents of the hernia.
Paraumbilical Hernia Treatment
Paraumbilical hernia treatment usually involves surgery to repair the weakened section of the abdominal wall and return the protruding tissue to its correct position.
While small hernias may cause minimal symptoms at first, they rarely resolve on their own and often enlarge over time.
Treatment options generally include paraumbilical hernia repair through one of two approaches.
-
Open surgery: During this operation, the surgeon makes an incision near the belly button, gently returns the tissue to the abdomen, and closes the opening with strong stitches. In many cases, surgical mesh is used to reinforce the area and reduce the risk of recurrence.
-
Keyhole surgery: Also known as laparoscopic or keyhole surgery, this procedure uses small instruments inserted through tiny incisions to repair the hernia from inside the abdomen. The technique may allow for a shorter recovery period in suitable patients.
Surgery for paraumbilical hernia is a routine procedure that aims to relieve symptoms, prevent complications, and restore the strength of the abdominal wall.
Your surgeon, Steve Hornby offers a full range of treatments, will discuss the most appropriate procedure and explain what to expect from the operation and recovery.
1
Initial consultation
Book an appointment with Steve Hornby, consultant general surgeon, to discuss your symptoms, concerns, and medical history. You will have time to ask questions and receive clear information about possible next steps.
2
Personalised treatment plan
Care tailored to you. Following your consultation, a clear treatment plan is created based on your diagnosis, needs, and goals. This may include further investigations, treatment options, or preparation for surgery where appropriate.
3
Treatment and recovery support
Care that continues beyond treatment. If surgery is required, it is delivered in modern clinical facilities, with recovery supported through onsite physiotherapy and follow-up care. Ongoing reviews ensure your recovery stays on track.
Ready to talk things through?
If you have questions or would like to discuss your symptoms, we’re here to help. You’re welcome to call 01242 386579, email admin@thehornbygroup.com, or use the contact form to get in touch.