Pediatric Hernias: Definitions, Diagnosis and Treatment

Hernia repair is among the most common type of general surgical procedure performed in children each year. The two most common types of congenital hernias in children are umbilical and inguinal hernias. The information below offers information on symptoms, diagnosis and treatment of these medical conditions.

Symptoms and Diagnosis

1. Present as a soft swelling at the navel that bulges when the baby or child sits up, cries or strains and usually disappears when the baby or child lies flat.
2. Usually painless.
3. Often detected on physical exam, without the need for additional testing.

Treatment

1. Often closes by 1 or 2 years of age.
2. Surgery needed when hernia has not closed by 2 to 4 years of age.
3. Emergency surgery required if intestinal blood supply is cut off (strangulation).