Umbilical, Para-umbilical hernia

  • UH: Protrusion through umbilicus. Infants when they cry. Spontaneous resolution in most by age 3. If not resolved - surgical repair
  • PUH: Protrusion through tissue around umbilicus. Gradually enlarges, stretching overlying skin. Multilocular defects , irreducible due to adhesion. More common in female Surgery advisable. High risk- obstruction/ strangulation