Materiały źródłowe

• #1 Umbilical hernia repair: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/002935.htm

  Umbilical hernia repair is surgery to repair an umbilical hernia. An umbilical hernia is a sac (pouch) formed from the inner lining of your belly (abdominal cavity) that pushes through a hole in the abdominal wall at the belly button. […] You will probably receive general anesthesia (asleep and pain-free) for this surgery. If your hernia is small, you may receive spinal, epidural block, or local anesthesia and medicine to relax you. If general anesthesia is not used, you will be awake but pain-free. […] Your surgeon will find your hernia and separate it from the tissues around it. Then your surgeon will gently push the contents of the hernia (either fat or intestine) back into the abdomen. Strong stitches will be used to repair the hole associated with the umbilical hernia. […] Most umbilical hernia repairs are done on an outpatient basis. This means you will likely go home on the same day. Some repairs may require a short hospital stay if the hernia is very large.

• #1

  https://www.nhs.uk/conditions/umbilical-hernia-repair/what-happens/

  Umbilical hernia repair is a fairly quick and simple operation. It takes about 20 to 30 minutes and it’s usually possible to go home on the same day. […] The muscle layers at the weak spot in the abdominal wall where the hernia came through are stitched together to strengthen them. For large or adult umbilical hernias, a special mesh patch may be placed in the abdominal wall to strengthen the area instead. […] If your child has had surgery, you’ll be taken to the recovery room as soon as they wake up so you can be with them.

• #1 Umbilical Hernia Repair The Woodlands | Hernia Repair Surgeon Houston, TX

  https://www.drlugo.com/umbilical-hernia-repair-surgical-care-woodlands-spring/

  Umbilical hernia repair is a surgical procedure performed for the treatment of a medical condition called an umbilical hernia. […] During an umbilical hernia repair, your surgeon pushes the hernia back into the abdomen and the weakened abdominal wall area is sewn closed or strengthened with a synthetic mesh. […] Your physician may recommend umbilical hernia repair when your hernia is enlarged (larger than half an inch) or causing severe pain and discomfort that is preventing you from functioning normally. […] Preoperative preparation for umbilical hernia repair will involve the following steps: A thorough examination is performed by your doctor to check for any medical issues that need to be addressed prior to the surgery. […] Your surgeon may perform either an open or a laparoscopic surgery to repair the umbilical hernia.

• #1 Umbilical Hernia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459312/

  An umbilical hernia is a defect in the ventral abdominal fascia at or near the umbilicus. […] Not all umbilical hernias require surgical intervention, but approximately 65% of adults with an umbilical hernia will eventually require surgical intervention. […] The ideal time to repair an umbilical hernia is prior to incarceration and strangulation of intraabdominal contents such as the omentum or bowel. […] Umbilical herniorrhaphy may be performed via several surgical approaches and may include the use of synthetic or biologic mesh. […] The activity for healthcare professionals reviews the etiology, epidemiology, evaluation, management, and complications of umbilical hernias in adults. […] Surgical repair of an umbilical hernia is indicated if there is pain, dysfunction, or enlargement.

• #1 Umbilical Hernia | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/30753

  Many people are diagnosed with an umbilical hernia during a routine physical examination. If the hernia is asymptomatic, affected individuals often choose expectant management over surgical repair. However, 65% of adult patients with an umbilical hernia will eventually require surgical repair; 3% to 5% of these repairs will be emergent. Individuals with an asymptomatic umbilical hernia should be counseled on the signs and symptoms of incarceration and strangulation and instructed in safe lifting practices. […] Surgical repair of an umbilical hernia is indicated if there is pain, dysfunction, or enlargement. The surgical approach to umbilical hernia repair is determined by the size of the hernia and other patient-specific factors such as comorbidities, body mass index, and the presence of other abdominal wall hernias. While elective umbilical hernia repair can be performed under local anesthesia with sedation or general anesthesia, urgent surgery often requires general anesthesia.

• #1 Umbilical Hernia | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/umbilical-hernia

  If your child’s umbilical hernia does not close on its own by the time he or she is 4-5 years old, we will recommend a surgical procedure to repair the hernia. […] The surgery to repair an umbilical hernia is a day surgery, meaning your child will go home the same day as the procedure. The procedure will be done under general anesthesia. […] After surgery, your child’s belly button may appear to be slightly swollen, but this will go away over the next few weeks. Your child will not be able to participate in physical education or sports for 2-3 weeks after surgery. […] Even after repair, there is a very small risk of recurrence of the hernia. If it appears that your child’s hernia has come back at any point, please make an appointment with your doctor to be evaluated. […] Seek medical care immediately if your child has any signs or symptoms of incarceration: A hernia that is stuck out and not able to be reduced (gently pushed back into the abdomen)

• #1 Hernia Repair: Pre & Post- Operative Nursing Care

  https://www.thenursingjournal.com/post/hernia-repair-pre-post-operative-nursing-care

  Pre-Operative Nursing Care for Hernia Repair […] Pre-Operative Nursing Assessment […] Start by having a chat with your patient to establish a safe and therapeutic relationship. […] Pre-Operative Nursing Diagnosis for Hernia Repair […] Having finished the conversation, you can now build your nursing diagnosis, and you’ll most likely find the following: […] Pre-operative Nursing Interventions for Hernia Repair […] Education about Hernia Repair […] As a nurse, you play a significant role in effectively educating your patient and addressing any questions. […] Managing Anxiety Fear […] Pre-operative anxiety and fear can arise from many factors. […] Managing Symptoms […] Depending on which type of hernia your patient has, he might experience different symptoms. […] Preparation on the Day of Surgery

• #1 Umbilical Hernia Repair Periprocedural Care: Preprocedural Evaluation, Equipment, Patient Preparation

  https://emedicine.medscape.com/article/2000990-periprocedure

  Umbilical hernias are typically diagnosed with a detailed history and physical examination. Patients generally complain of pain or a lump at the umbilicus. On physical examination, a protrusion at the umbilicus can be seen. Paraumbilical hernias are more common in women than in men. Findings are confirmed by palpating a fascial defect or by visualizing the hernia with increasing intra-abdominal pressure by straining. The fascial defect is usually smaller than the sac. […] A general surgery tray with basic surgical instruments should be used. The type of mesh used is typically based on the individual surgeon’s preference, but polypropylene or polytetrafluoroethylene (PTFE) mesh is a common choice. […] Patients should be instructed to avoid heavy lifting for 2-4 weeks postoperatively. Obese patients should be counseled on strategies for weight management. Continued medical control helps to decrease the risk of recurrence in patients with ascites.

• #1 Hernia Repair: Pre & Post- Operative Nursing Care

  https://www.thenursingjournal.com/post/hernia-repair-pre-post-operative-nursing-care

  The final step is to make sure that your patient is ready for surgery from the medical perspective. […] Post-Operative Nursing Care for Hernia Repair […] Post Hernia Repair Nursing Assessment […] Start by having a quick chat with your patient to determine his consciousness level. […] Post-Hernia Nursing Diagnosis […] The nursing assessment is likely to highlight the following nursing diagnoses: […] Post-Hernia Nursing Interventions […] Relieving Pain and Discomfort […] Moderate to low pain is expected after a Hernia Repair, depending on which method was used. […] Patient Education […] Given that a Hernia Repair takes 4-6 weeks to heal fully, it is vital to educate your patient about home care. […] Post Hernia Repair Discharge Planning […] Before sending your patient home, make sure that:

• #1 Umbilical hernia repair: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/002935.htm

  After surgery, your provider will monitor your vital signs (pulse, blood pressure, and breathing). You will stay in the recovery area until you are stable. Your provider will prescribe pain medicine if you need it. […] Follow instructions on how to care for your or your child’s incision at home. Your provider will tell you when you or your child resume your normal activities. For adults, this will be in 2 to 4 weeks. Children can likely return to most activities right away.

• #1 Managing Pain After Hernia Repair Surgery | Patient Resources | University Hospitals | Cleveland, OH | University Hospitals

  https://www.uhhospitals.org/services/surgery-services/conditions-and-treatments/hernia-surgery/patient-resources/postoperative-instructions/post-surgery-pain

  Abdominal pain after hernia surgery is caused by injury to your skin, muscles and nerves during the operation. Our goal is to keep your pain at a tolerable level that allows you to move around, eat and breathe easily, and heal more quickly. If your pain is not well controlled, tell your care team so they can adjust your medication appropriately. […] Pain can interfere with your ability to get enough sleep and reduce energy levels. Therefore, if you have too much post-surgery hernia pain you may not have the energy to do the things that will help you heal faster, like sitting in a chair or walking. […] Pain can negatively affect your mood and your relationships with others. This may affect your post-operative experience, as well as those helping you during recovery from surgery. […] Your caregivers will ask many of the following questions throughout your recovery to help us learn more about your abdominal pain after surgery. Your answers to these questions will help us identify effective ways to bring your pain under control.

• #1 Umbilical Hernias: Guide to Symptoms & Treatment | Columbia Surgery

  https://columbiasurgery.org/conditions-and-treatments/umbilical-hernias-guide-symptoms-treatment

  Most umbilical hernia surgery is ambulatory, meaning you will be able to go home the same day as your surgery. You should have someone drive you home from the hospital or surgery center as you will still be under the effects of anesthesia. […] Pain management may vary widely depending on your doctor. At Columbia, our typical pain control regimen includes Acetaminophen (Tylenol) and Ibuprofen (Motrin or Advil). We recommend that you take 650mg of Tylenol every 6 hours combined with 600mg of Ibuprofen 3 times daily after each meal (unless otherwise contraindicated). […] We encourage application of ice packs to the belly button area for the first 24-48 hours. This should be done for 30-45 min at least 6 times daily. […] Most patients can go back to work after 2-3 days. If your job involves strenuous activities, you might need 7-10 days to recover.

• #1 Umbilical Hernia Repair Post-Operative Instructions – New Hyde Park, NY & Howard Beach, NY: Progressive Surgical Care

  https://www.progressivesurgicalcare.com/contents/patient-resources/post-op-instructions/umbilical-hernia-repair-post-operative-instructions

  Make an appointment to be seen in the office for 7 10 days after your surgery. […] You can resume your normal diet once you are discharged from the hospital. […] Ice to area of incision 3x/ day for 15 minutes, for three days will help with swelling. […] Remove Tegaderm and gauze in 24 hours. […] Leave Steri-strips intact, they will be removed at the follow up appointment. […] Use ice to the incision 3x/ day for 15 minutes for three days to reduce swelling. […] It is normal to have swelling, bruising, and minor bleeding from the wound. […] You should not lift anything 20 lbs for six weeks, as this can cause breakdown of the healing wound, and formation of another hernia. […] Fever of 100.4F, pain that is not controlled by pain medication, inability to urinate, nausea, vomiting, inability to tolerate foods, redness and/ or heat around the incision, and copious bleeding from the wound (a small amount of blood is normal).

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acg3996

  You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt. […] If your bowel movements are not regular right after surgery, try to avoid constipation and straining. Drink plenty of water. Your doctor may suggest fibre, a stool softener, or a mild laxative. […] You will have a dressing over the cut (incision). A dressing helps the incision heal and protects it. Your doctor will tell you how to take care of this. […] Wash the area daily with warm water, and pat it dry. Don’t use hydrogen peroxide or alcohol. They can slow healing. […] You may shower 24 to 48 hours after surgery, if your doctor okays it. Pat the incision dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay. […] You may have a special girdle, called a binder, placed around the area where you had surgery. This binder will help ease swelling and pain. Your doctor will tell you how long to wear it.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acg3996

  After surgery, you are likely to have pain for a few days. The area around your navel may be swollen. You may also feel tired and have less energy than normal. This is common. […] You should feel better after a few days. […] Follow the steps below to get better as quickly as possible. […] Allow your body to heal. Don’t move quickly until you are feeling better. […] Don’t lift anything heavier than 4.5 kg (10 lb) until your doctor says it’s okay. […] Rest when you feel tired. […] You can do your normal activities when it feels okay to do so. […] Be active. Walking is a good choice. […] Hold a pillow over your incisions when you cough or take deep breaths. This will support your belly and may help to decrease your pain. […] Many people are able to return to work within 2 to 3 days after surgery. But if your job requires you to do heavy lifting or strenuous activity, you may need to take 4 to 6 weeks off from work.

• #1

  https://www.nhs.uk/conditions/umbilical-hernia-repair/recovery/

  It’s usually possible to go home the same day as having an umbilical hernia repair. […] It’s normal to feel sore and uncomfortable immediately after surgery. […] Most adults and children can go home a few hours after surgery when they’ve had something to eat and drink. […] You may have bruising and tenderness around the wound during your recovery at home. […] Hospital staff will advise you about taking painkillers to relieve any discomfort. […] Make sure you follow the instructions you were given before leaving hospital about hygiene, caring for the wound and bathing. […] Drinking lots of fluids and eating plenty of vegetables, fruit and high-fibre foods such as brown rice, wholemeal bread and pasta can help reduce the chances of this occurring. […] Normal activities can gradually be resumed over time when they can be carried out without feeling any pain.

• #1

  https://www.nhs.uk/conditions/umbilical-hernia-repair/recovery/

  Gentle exercise, such as walking, can help the healing process. […] You may be advised to keep your child off school for about a week to give them time to recover from the anaesthetic and the operation. […] Adults who have surgery should be able to return to work after about a week. […] You must not drive for 24 hours after having a general anaesthetic. […] Call a GP or 111 urgently if any of the following symptoms develop after surgery for an umbilical hernia: persistent high temperature, bleeding from the wound, increased swelling or pain in the abdomen, pain that isn’t relieved by painkillers, persistent vomiting, chills, persistent coughing or shortness of breath, increasing redness around your incisions, difficulty passing urine.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acg3996

  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 or nurse advice line if you are having problems. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not have a bowel movement within several days after the surgery. […] You do not get better as expected.

• #1 Umbilical Hernia Repair Surgery

  https://www.chp.edu/our-services/surgery-pediatric/patient-procedures/umbilical-hernia-repair-surgery

  Umbilical hernia repair is an outpatient surgery that will be done at the Same Day Surgery Center at Childrens Hospital or at the Childrens North or Childrens South surgery centers. […] Your child’s surgery will be done under general anesthesia, which means that he or she will be asleep during the surgery. […] During the surgery, your child will be given a numbing medication directly into the incision to relieve discomfort after the surgery. […] The umbilical hernia repair is done under general anesthesia. […] General anesthesia makes the surgery easier and safer to do because your child will not feel any pain or have any memory of it. […] Your surgeon will make an incision in a skin crease of the lower edge of the umbilicus. […] Your surgeon will tack down the skin on the underside of the belly button to the muscle to create the look of an innsy belly button.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ud1790

  Your child may have some pain around the belly button (navel) and need pain medicine for several days after surgery. The area around your child’s navel may be swollen for several weeks. […] After surgery, your child will no longer have a hernia. There will no longer be a bulge around your child’s navel. […] Most children are back to many of their normal activities, like walking or playing with toys, 1 or 2 days after surgery. It takes about 1 to 2 weeks for the cut the doctor made (incision) to heal. The incision will leave a small scar that will fade with time. If the hernia was large, there may be some loose skin around your child’s navel. This usually shrinks and becomes less noticeable as your child grows. […] Follow the steps below to help your child get better as quickly as possible.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ud1790

  Your child may shower 1 to 2 days after the surgery. Pat the incision dry after the shower. Do not let your child take a bath for the first 2 weeks, or until the doctor tells you it is okay. […] Your child should not ride a bike, play running games or contact sports, or take part in gym class for 3 to 4 weeks or until your doctor says it is okay. It is okay for your child to walk and play with other children or play with toys. […] Until the doctor says it is okay, your child should avoid lifting anything that would make him or her strain. This may include heavy milk containers, a heavy backpack, or a medium-sized pet. […] Your child can eat his or her normal diet. If your child’s stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt. […] Have your child drink plenty of fluids to avoid becoming dehydrated.

• #1 3 Umbilical and Inguinal Hernia Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/umbilical-and-inguinal-hernia-nursing-care-plans/

  Deliver effective care to patients with Umbilical and Inguinal Hernia this nursing care plan and management guide. Gain insights into nursing assessment, interventions, goals, and diagnosis customized for their specific needs. Enhance your ability to provide specialized care for Umbilical and Inguinal Hernia. […] Rendering effective nursing care is important after a surgical repair for a hernia which includes providing comfort, educating parents and child as appropriate with information related to the postoperative condition and care measures, and preventing the occurrence of complications. […] The following are the nursing priorities for patients with umbilical and inguinal hernia: Managing pain, Preventing swelling, Preventing complications. […] Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with umbilical and inguinal hernia based on the nurses clinical judgement and understanding of the patients unique health condition.

• #2 Umbilical Hernia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459312/

  An umbilical hernia is a defect in the ventral abdominal fascia at or near the umbilicus. […] Not all umbilical hernias require surgical intervention, but approximately 65% of adults with an umbilical hernia will eventually require surgical intervention. […] The ideal time to repair an umbilical hernia is prior to incarceration and strangulation of intraabdominal contents such as the omentum or bowel. […] Umbilical herniorrhaphy may be performed via several surgical approaches and may include the use of synthetic or biologic mesh. […] The activity for healthcare professionals reviews the etiology, epidemiology, evaluation, management, and complications of umbilical hernias in adults. […] Surgical repair of an umbilical hernia is indicated if there is pain, dysfunction, or enlargement.

• #2 Umbilical Hernia | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/30753

  Nonoperative management may be considered in asymptomatic patients with umbilical hernias; in these patients, the yearly risk of strangulation is less than 1%. When contemplating nonoperative management, comorbidities such as obesity or ascites that may complicate an emergent repair should be carefully considered. A hernia that is symptomatic or increasing in size should be repaired. […] Simple, nonemergent umbilical hernia repair is a same-day procedure. The goals of postoperative care are pain control, early ambulation, wound protection, and pulmonary toilet. Lifting is restricted for several weeks, but light activity is encouraged. A stool softener may be prescribed to minimize constipation, particularly while taking pain medications. Patients are advised to refrain from swimming or submerging for 2 weeks; wound care instructions are specific to the dressing.

• #2

  https://www.nhs.uk/conditions/umbilical-hernia-repair/what-happens/

  Umbilical hernia repair is a fairly quick and simple operation. It takes about 20 to 30 minutes and it’s usually possible to go home on the same day. […] The muscle layers at the weak spot in the abdominal wall where the hernia came through are stitched together to strengthen them. For large or adult umbilical hernias, a special mesh patch may be placed in the abdominal wall to strengthen the area instead. […] If your child has had surgery, you’ll be taken to the recovery room as soon as they wake up so you can be with them.

• #2 Hernia Repair: Pre & Post- Operative Nursing Care

  https://www.thenursingjournal.com/post/hernia-repair-pre-post-operative-nursing-care

  Pre-Operative Nursing Care for Hernia Repair […] Pre-Operative Nursing Assessment […] Start by having a chat with your patient to establish a safe and therapeutic relationship. […] Pre-Operative Nursing Diagnosis for Hernia Repair […] Having finished the conversation, you can now build your nursing diagnosis, and you’ll most likely find the following: […] Pre-operative Nursing Interventions for Hernia Repair […] Education about Hernia Repair […] As a nurse, you play a significant role in effectively educating your patient and addressing any questions. […] Managing Anxiety Fear […] Pre-operative anxiety and fear can arise from many factors. […] Managing Symptoms […] Depending on which type of hernia your patient has, he might experience different symptoms. […] Preparation on the Day of Surgery

• #2 3 Umbilical and Inguinal Hernia Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/umbilical-and-inguinal-hernia-nursing-care-plans/

  Deliver effective care to patients with Umbilical and Inguinal Hernia this nursing care plan and management guide. Gain insights into nursing assessment, interventions, goals, and diagnosis customized for their specific needs. Enhance your ability to provide specialized care for Umbilical and Inguinal Hernia. […] Rendering effective nursing care is important after a surgical repair for a hernia which includes providing comfort, educating parents and child as appropriate with information related to the postoperative condition and care measures, and preventing the occurrence of complications. […] The following are the nursing priorities for patients with umbilical and inguinal hernia: Managing pain, Preventing swelling, Preventing complications. […] Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with umbilical and inguinal hernia based on the nurses clinical judgement and understanding of the patients unique health condition.

• #2 3 Umbilical and Inguinal Hernia Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/umbilical-and-inguinal-hernia-nursing-care-plans/

  Teach parents about surgical procedures to repair the hernia and possible hydrocele and the course of progress to expect. Corrects and repairs hernia and hydrocele if present before the development of a complication. […] Encourage parents to hold infants when crying and during feeding; instruct the child to avoid pushing, lifting, or engaging in vigorous activity or gym classes. Prevents strain on the incision and possible hernia recurrence.

• #2 Hernia Repair: Pre & Post- Operative Nursing Care

  https://www.thenursingjournal.com/post/hernia-repair-pre-post-operative-nursing-care

  The final step is to make sure that your patient is ready for surgery from the medical perspective. […] Post-Operative Nursing Care for Hernia Repair […] Post Hernia Repair Nursing Assessment […] Start by having a quick chat with your patient to determine his consciousness level. […] Post-Hernia Nursing Diagnosis […] The nursing assessment is likely to highlight the following nursing diagnoses: […] Post-Hernia Nursing Interventions […] Relieving Pain and Discomfort […] Moderate to low pain is expected after a Hernia Repair, depending on which method was used. […] Patient Education […] Given that a Hernia Repair takes 4-6 weeks to heal fully, it is vital to educate your patient about home care. […] Post Hernia Repair Discharge Planning […] Before sending your patient home, make sure that:

• #2 Managing Pain After Hernia Repair Surgery | Patient Resources | University Hospitals | Cleveland, OH | University Hospitals

  https://www.uhhospitals.org/services/surgery-services/conditions-and-treatments/hernia-surgery/patient-resources/postoperative-instructions/post-surgery-pain

  In the first few days after surgery, we may prescribe narcotic pain medications to keep your pain levels tolerable. As soon as possible, you will be switched to non-narcotic NSAIDs like ibuprofen which reduce inflammation and pain. […] Be sure to take your pain medication(s) exactly as directed. Taking more than prescribed or more often than directed can be dangerous and potentially life-threatening. […] Pain control techniques help you deal with pain instead of taking it away. Its important to practice the techniques even when you dont have pain, if possible. This will help the techniques be more effective during an episode of pain. […] Plan to have a trusted friend or family member with you at all times during the immediate post-surgery period. Your support person can help keep you comfortable. […] Pain medications can sometimes have unpleasant side effects like nausea and constipation. If nausea is a problem, try taking your medication with food, such as a few crackers. […] If side effects continue or worsen, let us know. You may need additional/different medications.

• #2 Umbilical Hernias: Guide to Symptoms & Treatment | Columbia Surgery

  https://columbiasurgery.org/conditions-and-treatments/umbilical-hernias-guide-symptoms-treatment

  Most umbilical hernia surgery is ambulatory, meaning you will be able to go home the same day as your surgery. You should have someone drive you home from the hospital or surgery center as you will still be under the effects of anesthesia. […] Pain management may vary widely depending on your doctor. At Columbia, our typical pain control regimen includes Acetaminophen (Tylenol) and Ibuprofen (Motrin or Advil). We recommend that you take 650mg of Tylenol every 6 hours combined with 600mg of Ibuprofen 3 times daily after each meal (unless otherwise contraindicated). […] We encourage application of ice packs to the belly button area for the first 24-48 hours. This should be done for 30-45 min at least 6 times daily. […] Most patients can go back to work after 2-3 days. If your job involves strenuous activities, you might need 7-10 days to recover.

• #2 Umbilical Hernia Repair: What to Expect at Home | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.umbilical-hernia-repair-what-to-expect-at-home.acg3996

  You will have a dressing over the cut (incision). A dressing helps the incision heal and protects it. Your doctor will tell you how to take care of this. […] Wash the area daily with warm water, and pat it dry. Don’t use hydrogen peroxide or alcohol. They can slow healing. […] You may shower 24 to 48 hours after surgery, if your doctor okays it. Pat the incision dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay. […] 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. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not have a bowel movement within several days after the surgery. […] You do not get better as expected.

• #2

  https://www.nhs.uk/conditions/umbilical-hernia-repair/recovery/

  Gentle exercise, such as walking, can help the healing process. […] You may be advised to keep your child off school for about a week to give them time to recover from the anaesthetic and the operation. […] Adults who have surgery should be able to return to work after about a week. […] You must not drive for 24 hours after having a general anaesthetic. […] Call a GP or 111 urgently if any of the following symptoms develop after surgery for an umbilical hernia: persistent high temperature, bleeding from the wound, increased swelling or pain in the abdomen, pain that isn’t relieved by painkillers, persistent vomiting, chills, persistent coughing or shortness of breath, increasing redness around your incisions, difficulty passing urine.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acg3996

  You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt. […] If your bowel movements are not regular right after surgery, try to avoid constipation and straining. Drink plenty of water. Your doctor may suggest fibre, a stool softener, or a mild laxative. […] You will have a dressing over the cut (incision). A dressing helps the incision heal and protects it. Your doctor will tell you how to take care of this. […] Wash the area daily with warm water, and pat it dry. Don’t use hydrogen peroxide or alcohol. They can slow healing. […] You may shower 24 to 48 hours after surgery, if your doctor okays it. Pat the incision dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay. […] You may have a special girdle, called a binder, placed around the area where you had surgery. This binder will help ease swelling and pain. Your doctor will tell you how long to wear it.

• #2 3 Umbilical and Inguinal Hernia Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/umbilical-and-inguinal-hernia-nursing-care-plans/

  Goals and expected outcomes may include: The client will express feelings of comfort and reduce pain as described using a pain scale. Request for information about activity allowed, wound care, diet, bathing, and comfort measures. Parents will obtain knowledge about postoperative care. The client will experience adequate fluid volume. […] Therapeutic interventions and nursing actions for patients with umbilical and inguinal hernia may include: Assess incision pain and nonverbal signs of pain such as crying, lethargy, and facial grimace. Determines the need for the initiation of analgesic therapy. Maintain a position of comfort. Facilitates comfort and decreases pain caused by the strain on the incision. […] Assess by palpation for any swelling in the umbilical or inguinal area while the infant cries or when the child strains or coughs, and the ability to diminish swelling with gentle compression if the bowel is forced into the sac. Shows a hernia that is reducible (easily manipulated back into place).

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acg3996

  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 or nurse advice line if you are having problems. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not have a bowel movement within several days after the surgery. […] You do not get better as expected.

• #2 Surgery for Umbilical Hernia – Children’s Hospital of Orange County

  https://choc.org/programs-services/pediatric-general-surgery/umbilical-hernia/

  Umbilical hernia repair involves a short operation, usually performed on an outpatient basis. Your child will be scheduled for surgery from our office. […] Anesthesia requirements include a period of not eating or drinking before the operation. The duration will depend on your child’s age. Your child will undergo a general anesthetic which will put him or her completely to sleep and prevents the sensation of pain. The full risks of anesthesia will be further explained by your child’s anesthesiologist. […] The operation consists of making an incision near the belly button, usually underneath. The repair is accomplished by placing stitches on both sides of the hole (the hernia) to bring the edges together. The belly button is then tacked down to make it look like an “inny.” Excess skin is often left in place because over time, this results in the best cosmetic appearance. Usually, a dressing is placed over the site which can be removed in four to five days. Surgical glue may also be used to cover the incision. Your child can take a shower but should wait seven days before bathing in a tub.

• #2 Umbilical Hernia Repair Surgery

  https://www.chp.edu/our-services/surgery-pediatric/patient-procedures/umbilical-hernia-repair-surgery

  Your child should take Tylenol or Motrin 4 hours after the surgery, which will help with discomfort when the anesthesia wears off. […] Following the operation, activity needs to be somewhat restricted. […] Your surgeon will determine when your child may resume normal activities. […] If you notice a fever higher than 101.4 degrees F, bleeding or foul smelling drainage from the area around the incision, call the doctor who did the surgery right away.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ud1790

  If your child feels sick to his or her stomach: Do not give pain medicines on an empty stomach. Give your child pain medicines after meals or with a snack (unless the doctor has told you not to). […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child has pain that does not get better after he or she takes pain medicine. […] Your child has signs of infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child does not have a bowel movement after taking a laxative.

• #2 Nursing Care Plan For Umbilical Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-umbilical-hernia/

  Nursing diagnosis for umbilical hernia address the physiological and psychosocial challenges associated with this condition. These diagnoses form the basis for developing a care plan that focuses on symptom management, patient comfort, and overall well-being. Regular reassessment is crucial to adapt the care plan based on the patients response to treatment and changes in their condition. […] Nursing interventions for umbilical hernia aim to address symptoms, promote patient comfort, and prevent complications. These interventions are designed to be patient-centered, taking into account the individuals unique needs and preferences. Regular reassessment is essential to adapt the care plan based on the patients response to treatment and changes in their condition. […] In conclusion, the nursing care plan for umbilical hernia is a comprehensive approach aimed at addressing the diverse needs of individuals grappling with this abdominal wall defect. By focusing on pain management, preventive measures, patient education, and psychosocial support, nurses play a crucial role in enhancing the overall well-being and recovery of those with umbilical hernias.

• #3 Umbilical Hernia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459312/

  An umbilical hernia is a defect in the ventral abdominal fascia at or near the umbilicus. […] Not all umbilical hernias require surgical intervention, but approximately 65% of adults with an umbilical hernia will eventually require surgical intervention. […] The ideal time to repair an umbilical hernia is prior to incarceration and strangulation of intraabdominal contents such as the omentum or bowel. […] Umbilical herniorrhaphy may be performed via several surgical approaches and may include the use of synthetic or biologic mesh. […] The activity for healthcare professionals reviews the etiology, epidemiology, evaluation, management, and complications of umbilical hernias in adults. […] Surgical repair of an umbilical hernia is indicated if there is pain, dysfunction, or enlargement.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ud1790

  If your child feels sick to his or her stomach: Do not give pain medicines on an empty stomach. Give your child pain medicines after meals or with a snack (unless the doctor has told you not to). […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child has pain that does not get better after he or she takes pain medicine. […] Your child has signs of infection, such as: Increased pain, swelling, warmth, or redness. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child does not have a bowel movement after taking a laxative.

• #3 Nursing Care Plan For Umbilical Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-umbilical-hernia/

  Nursing diagnosis for umbilical hernia address the physiological and psychosocial challenges associated with this condition. These diagnoses form the basis for developing a care plan that focuses on symptom management, patient comfort, and overall well-being. Regular reassessment is crucial to adapt the care plan based on the patients response to treatment and changes in their condition. […] Nursing interventions for umbilical hernia aim to address symptoms, promote patient comfort, and prevent complications. These interventions are designed to be patient-centered, taking into account the individuals unique needs and preferences. Regular reassessment is essential to adapt the care plan based on the patients response to treatment and changes in their condition. […] In conclusion, the nursing care plan for umbilical hernia is a comprehensive approach aimed at addressing the diverse needs of individuals grappling with this abdominal wall defect. By focusing on pain management, preventive measures, patient education, and psychosocial support, nurses play a crucial role in enhancing the overall well-being and recovery of those with umbilical hernias.

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