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Umbilical Hernia Repair: Before Your Surgery

An umbilical hernia next to the belly button

What is an umbilical hernia repair?

An umbilical hernia repair is surgery to fix a hernia. A hernia is a bulge under the skin in your belly. An umbilical hernia is near the belly button (navel). It's a weak spot in your belly muscles that allows tissues or a piece of your intestines to poke through your muscles. It can cause pain. You may notice the pain most when you lift something heavy.

To fix the hernia, the doctor will do one of two kinds of surgery. In open surgery, the doctor makes one cut (incision) near the hernia. In laparoscopic surgery, the doctor makes several small cuts and uses a thin, lighted scope and small tools. Then the doctor pushes the bulge back in place, if needed. Often the doctor patches the weak spot with a piece of mesh material.

Open surgery leaves a single scar. Laparoscopic surgery leaves several smaller scars. The scars fade with time.

You will probably need to take 2 to 3 days off from work. But if your job requires heavy lifting or other physical work, you may need to take 4 to 6 weeks off.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

What happens before surgery?

Procedures can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for your procedure.

Preparing for surgery

  • Understand exactly what surgery is planned, along with the risks, benefits, and other options.
  • Tell your doctors ALL the medicines and natural health products you take. Some of these can increase the risk of bleeding or interact with anesthesia.
  • If you take aspirin or some other blood thinner, be sure to talk to your doctor. He or she will tell you if you should stop taking it before your surgery. Make sure that you understand exactly what your doctor wants you to do.
  • Your doctor will tell you which medicines to take or stop before your surgery. You may need to stop taking certain medicines a week or more before surgery. So talk to your doctor as soon as you can.
  • If you have an advance care plan, let your doctor know. If you don't have one, you may want to prepare one. It lets your doctor and loved ones know your health care wishes. Doctors advise that everyone prepare these papers before any type of surgery or procedure.

What happens on the day of surgery?

  • Follow the instructions exactly about when to stop eating and drinking. If you don't, your surgery may be cancelled. If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water.
  • Follow your doctor's instructions about when to bathe or shower before your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.
  • Do not shave the surgical site yourself.
  • Take off all jewellery and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery centre

  • Bring a picture ID.
  • The area for surgery is often marked to make sure there are no errors.
  • You will be kept comfortable and safe by your anesthesia provider. You will be asleep during the surgery.
  • The surgery will take about 1 to 2 hours.

Going home

  • You will be given more specific instructions about recovering from your surgery. They will cover things like diet, wound care, follow-up care, driving, and getting back to your normal routine.
  • Be sure you have someone to drive you home. Anesthesia and pain medicine make it unsafe for you to drive.

When should you call your doctor?

  • You have questions or concerns.
  • You don't understand how to prepare for your surgery.
  • You become ill before the surgery (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about having the surgery.

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.