Umbilical hernia in adults is treated with surgery. But in some cases, a person has a number of contraindications for the operation. Most often contraindications occur in old age. In this case, the patient is recommended to wear a special bandage for an umbilical hernia. Hernia: types and symptoms - which of them are the most dangerous? .
How to treat umbilical hernia in children and adults
The umbilical hernia is an extension of the umbilical ring through which the internal organs located in the abdominal cavity come out. And if in children this ring may well overgrow, in connection with which they try not to do the operation until five years, then in adults this miracle does not happen and they certainly need to be operated on.
Such an operation is contraindicated in severe diseases of internal organs (especially in elderly patients), in severe diabetes mellitus Diabetes mellitus with impaired immunity, in obesity complicated by cardiovascular diseases, in allergies to anesthesia and some other diseases and conditions. In some cases, contraindications are temporary, for example, for some acute illness or for exacerbation of chronic disease.
Bandage - a device for the prevention of umbilical hernia infringement
In all these cases, in order to prevent the incision of a hernia, it is recommended to wear a bandage. Pinching refers to the sudden compression of the umbilical ring and the compression of the internal organs in the hernia sac. As a result of such compression, blood circulation is disturbed and necrosis (death) of the tissue of the strangulated organs occurs. Signs of infringement are pain and inability to right a hernia. If such symptoms appear, then self-replenishment is strictly prohibited, as this may speed up the process of tissue death. The only thing that remains for the patient is an urgent call for an ambulance and go for an operation. For emergency operations, there are practically no contraindications.
In order to prevent the pinching of the umbilical hernia, patients are recommended to wear special bandages. Bandages are issued that are intended simultaneously for patients with umbilical hernias, hernias of the white line of the abdomen, conditions after operations on the abdominal organs, after injuries of the abdomen and kidney area, discrepancies of the abdominal muscles. Such a bandage can also be used to prevent the appearance of an umbilical hernia, if a person is engaged in hard physical labor.
When applying a bandage, the anterior abdominal wall and the lower part of the waist are in a fixed state.
The bandage exerts local pressure on the navel and prevents the hernial sac from escaping beyond the abdominal cavity. At the same time, with constant wear of the bandage, the muscle tone of the anterior abdominal wall is increased, which creates an additional obstacle to the exit of the hernia sac.
Patients who have contraindications for an operation for an umbilical hernia, it is recommended that you constantly wear a bandage. This is especially important for obese patients in whom the stomach droops, which additionally relaxes the muscles in this area and contributes to the formation of a hernia.
What does a modern bandage look like?
Modern bandages are usually made from natural fabrics, they are breathable, easily absorb liquids (such as sweat), do not irritate the skin, are invisible under clothing and do not cause discomfort to patients. Usually in bandages there are stiffeners that do not allow them to fold after being put on. Many bandages have a special applicator that overlaps the hernia area. Bandages are available in various sizes (from 63 to 140 cm in circumference). The average width of the umbilical hernia band is 20 cm.
Bandages are also available for the treatment of umbilical hernias in children; they have the appearance of a soft elastic belt with a hernial limiter. Such a bandage can provide a soft local compression in the navel area, prevent the hernia sac from escaping, which contributes to the overgrowth of the umbilical ring, that is, treatment and prevention of the umbilical hernia in children.
The children's bandage easily is erased, possesses hypoallergenic properties and high wear resistance. The sizes of such bandages may be suitable for children, ranging from one month to 12 years and older.
Newborn babies can use the bandage only after complete healing of the umbilical wound.
How to use a bandage for umbilical hernia
Wear a bandage in the morning, after a night's sleep, without getting up from the bed, on the underwear. To do this, you need to put the applicator so that it coincides with the navel area, then, lying on your back, make a small massage of the abdomen from the bottom up and straighten the hernia, if there is a protrusion in the navel area. Only after this, the bandage is wrapped around the abdomen and fastened in the front (for most modern bandages there are fasteners in the form of stickies). If Velcro does not hold the bandage, then other, additional types of fixation are usually provided.
The bandage is an excellent means of preventing the pinching of an umbilical hernia.
Indications for use
The use of a bandage for the treatment of umbilical hernia is recommended when surgical intervention is not possible in the following pathologies:
- The presence of systemic diseases (diabetes, serious pathologies of the cardiovascular system, autoimmune diseases). In such cases, surgery is a last resort, because surgery can threaten the patient’s life,
- The initial stage of the umbilical hernia,
- Pregnant women are at risk because the fetus during development squeezes the internal organs, causing the umbilical ring to expand and the part of the intestine to exit into the hernial sac,
- Hernia development in childhood due to incomplete closure of the umbilical ring,
- As a preventive measure for newborns who have a genetic predisposition.
However, the main indication for the use of a bandage in adults is the prevention of pinching of the hernia (sudden compression of the umbilical ring and compression of the part of the intestine, which is located in the hernia sac). This pathological process can lead to tissue necrosis of the strangulated organ, therefore, requires urgent surgical intervention. In such cases, there are no contraindications to the operation.
A bandage for umbilical hernia is also prescribed in the recovery period after the operation. It reduces the risk of recurrence of the disease and reduces the severity of pain.
Main types of bandages
Conditionally hernia umbilical bandage is divided into 3 types:
- Hard. In such a product, the fixing pad has a special spring that exerts constant pressure on the navel. This prevents the hernia sac from falling out. This anti-bandage band has no elastic bands, so it will not stretch during use,
- Elastic. The product is soft, does not squeeze the stomach during movements, but has a weak fixation. It has a special disc for holding a hernia. Allows you to adjust the size,
- Universal. Such a bandage can be used to correct an umbilical or inguinal hernia. Some models that provide additional spinal fixation are widely used by athletes. Female bandage is recommended to wear during pregnancy. This is necessary to reduce the load on the abdominal wall and prevent the development of hernia.
What is a bandage?
Modern models are made of natural fabrics. They are able to absorb liquid, for example, perspiration, permeable to air, do not cause irritation on the skin, do not cause unpleasant sensations. The bandage on the abdominal wall has stiffening ribs that prevent the product from rolling up after being put on. Products are produced in different sizes, and the width of the bandage is 20 cm.
How to choose a bandage?
When choosing a model, you need to take into account the opinion of a specialist and your own feelings. The product must be tight, but not hard. Before buying, you need to decide whether you need additional features, or you only want to cure the umbilical hernia. If you are periodically worried about back pain or have to endure heaviness, then it is better to buy a model with stiffeners and a wide belt.
In the warm season it is recommended to use a thin ventral bandage, which will not be noticeable under clothing and will reduce the risk of prickly heat and other irritations on the skin. Some models have special plates in the design that reduce the excessive load on the lower back.
How to use a supporting corset?
The product must be worn underwear immediately after waking up, without leaving the bed. To do this, simply perform simple manipulations:
- Install the applicator so that it is located in the navel.
- Experts recommend a short abdominal massage. Hands should move upwards.
- If a hernia sac is falling out, it will need to be emptied.
- Only after these manipulations can a bandage be wrapped around the abdomen and fastened.
For convenience, all modern models are fastened in front. In cases where the Velcro is not able to securely hold the bandage, the use of other fixing elements (buttons, lacing, ties, hooks) is provided.