Umbilical Hernia Repair

Procedure Snapshot

• Indication: Symptomatic or > 2 cm defect.
• Expected duration: ___
• Special instruments: Mesh patch (onlay or sublay), suture passer.

Step Workflow

1. Curvilinear infra-umbilical incision.
2. Reduce contents & excise sac.
3. Close defect primarily (< 2 cm) or place mesh.
4. Recreate umbilical dimple.

Key Pimp Questions

• Q: Common contents? Preperitoneal fat > omentum.
• Q: Recurrence risk factors? Obesity, ascites (PMID 33052291).

Critical Anatomy

• Landmarks: Linea alba, rectus sheath.
• Danger zones: Inferior epigastric vessels.

Informed Consent Highlights

• Recurrence __ Seroma __ Mesh infection ___

Post-op Considerations

• Binder × 2 weeks; avoid heavy lifting × 6 weeks.

References

• Chassin’s, Hernia. Clinical Scenarios, Abdominal Wall.
• Henriksen 2020 (PMID 33052291).