Surgery for Umbilical Hernia
Surgery for Umbilical Hernia
When an umbilical hernia starts causing pain or increases in size, hernia repair surgery is usually advised to prevent complications. Understanding the process—from preparation to recovery—can help you make a confident and informed decision.
What is Umbilical Hernia Surgery?
Umbilical hernia surgery is a procedure that repairs a weak area in the abdominal wall near the belly button, through which abdominal tissue or intestine may bulge. This condition can happen in both infants and adults and may require surgical correction if it persists or causes symptoms.
The goal of this surgery is to return the protruding tissue to its proper place and close the defect in the abdominal wall. Surgeons may use sutures alone or reinforce the area with a surgical mesh, depending on the size of the hernia and the patient’s risk factors.
What are the types of Umbilical Hernia Surgery?
Open Umbilical Hernia Repair
In open surgery, the surgeon makes a small incision near the belly button, pushes the herniated tissue back into the abdomen and closes the defect with stitches. For larger hernias or adults, mesh may be used to strengthen the repair and reduce the risk of recurrence.
Laparoscopic (Minimally Invasive) Repair
The surgeon performing laparoscopic surgery makes several small incisions through which a camera and surgical instruments are inserted. This technique enables them to repair the umbilical hernia from the inside using a mesh, resulting in less post-surgery pain, smaller scars, and a quicker recovery.
Use of Mesh vs Non-Mesh Repair
Small hernias, especially in children, can often be closed with simple stitching alone. In adults or cases where the hernia defect is larger, surgeons typically recommend using a synthetic mesh to provide additional reinforcement and reduce the risk of recurrence.
When is Surgery for Umbilical Hernia recommended?
You may need umbilical hernia surgery if you experience:
- A visible bulge near the belly button
- Discomfort or pain, especially when coughing or lifting
- Bulge that increases in size over time
- Nausea or signs of bowel obstruction (rare but serious)
Surgery for Children vs Adults
In infants, many umbilical hernias close on their own by age 3–4. Surgery is only recommended if the hernia persists beyond that age, grows larger, or causes symptoms.
In adults, hernias rarely close without surgery and carry a greater risk of complications. Elective surgery is usually advised to prevent issues like incarceration or strangulation.
Procedure for Umbilical Hernia Surgery
Before the Procedure
Your surgeon will conduct a pre-surgery evaluation, which may include a physical examination, blood tests, or imaging studies as needed. You’ll receive detailed instructions, including:
- Fasting for 6 hours before surgery
- Stopping certain medications (e.g., blood thinners)
- Arranging transport home after your procedure
During the Procedure
You’ll receive general anaesthesia for laparoscopic repairs or local/spinal anaesthesia for smaller open procedures. Once you’re asleep or sedated, the surgeon will make the necessary incision(s), return the herniated tissue to its proper place, and close the abdominal wall.
The surgeon may insert a mesh, depending on your condition. The whole procedure typically takes 30 to 60 minutes.
After the Procedure
Your care team will monitor your vital signs, manage any discomfort, and ensure that you’re stable before discharge. Most patients can return home the same day, especially if the procedure is performed as a day surgery.
The team will also guide you on how to care for your wound at home and help you resume daily activities gradually with safe movements. Most people return to light work within a week, but full recovery may take two to four weeks, depending on the surgical method and your overall health.
Risk Factors for Umbilical Hernia
Causes in Infants vs Adults
In infants, umbilical hernias are often due to a naturally weak spot in the abdomen that hasn’t closed after birth. Meanwhile for adults, risk factors include:
- Obesity
- Pregnancy
- Chronic coughing or straining
- Abdominal surgery
- Heavy lifting
Risk Factors for Recurrence
An umbilicial hernia may recur after surgery if you:
- Resume physical activity too soon
- Experience chronic strain on the abdominal wall muscles (e.g., coughing, constipation)
- Have poor tissue healing due to smoking or diabetes
Cost of Umbilical Hernia Surgery
The cost of umbilical hernia surgery in Singapore depends on several factors, including the complexity of the case and the surgical technique used. According to Singapore’s Ministry of Health historical transacted bill sizes and fee benchmarks:
- The typical surgeon’s fee ranges from S$3,000 to S$4,900 (excluding GST)
- The anaesthetist’s fee typically falls between S$1,000 and S$1,800 (excluding GST)
These figures reflect only the surgical fees. The final hospital bill will also depend on the following:
- Your choice of hospital
- Length of hospital stay and recovery needs
- Charges for diagnostic tests and other services
- Your insurance plan’s co-payment, deductible coverage, and claims limits
Procedures are Medisave-claimable, helping you cover part of the cost. Additional support may be available through your integrated shield plan or private insurance. For a cost estimate tailored to your situation, speak with your hospital’s financial counsellor or care team.
Umbilical Hernia Surgery FAQs
Is umbilical hernia surgery necessary for all cases?
Not always. In infants, many hernias close naturally by age 3–4. In adults, surgery is generally advised as hernias won’t heal on their own and can worsen.
What are the risks and complications of umbilical hernia surgery?
Complications are rare but can include infection, bleeding, or recurrence.
How long will it take to recover after umbilical hernia surgery?
Most people recover within 2 to 4 weeks. You can typically resume light activities and exercise after a couple of weeks, as advised by your doctor.
Can umbilical hernias recur after repair?
Yes, although recurrence is uncommon when the mesh is used and post-operative instructions are followed.
When can I resume work, driving, or exercise?
You may return to office work within a few days. Driving is usually safe after a week once the pain is minimal. Avoid heavy lifting or strenuous exercise for 2–4 weeks or until your surgeon clears you.
What signs should I watch for after surgery that may indicate complications?
Contact your surgeon if you notice:
- Fever or chills
- Redness, swelling, or discharge at the wound
- Persistent or worsening pain
- Nausea or vomiting
Consult Our Hernia Repair Surgeons
An umbilical hernia can disrupt your daily life and pose long-term health risks if left untreated. If you’re considering hernia surgery in Singapore, schedule a consultation with our hernia repair surgeons and take the first step toward lasting recovery.
Consult Our Doctors
Dr Jane Tan Jye Yng
Colorectal & General Surgeon
Dr Lim Khong Hee
Upper Gastrointestinal, Bariatric & General Surgeon
Cost & Financing
Nexus Surgical provides comprehensive financial services to ensure a seamless and pleasant experience.