Operations

Abdominal wall hernia repair is a surgical procedure aimed at treating a condition where abdominal organs or tissues push through a weak spot in the abdominal muscles, creating a visible and often uncomfortable bulge. In children, it is often associated with congenital anatomical anomalies and requires surgical intervention to avoid complications.

Main causes

Abdominal wall hernia in children mainly develops due to weakness or incomplete closure of the abdominal muscles. The most common causes and risk factors are:

• Congenital weakness of the abdominal wall that does not heal on its own
• Premature birth, which increases the likelihood of muscle and connective tissue underdevelopment
• Elevated intra-abdominal pressure, which can be result from prolonged coughing, crying or constipation, for example

Typical symptoms

• A protruding bulge in the abdominal area, which becomes more noticeable during physical activity, coughing, or crying.
• In some cases, mild discomfort or soreness in the hernia area.
• If the hernia gets incarcerated (i.e. the tissues get trapped), more severe symptoms may occur:
  • Sudden severe pain
  • Localised redness and swelling
  • Nausea or vomiting

Surgery

Abdominal wall hernia repair is performed under general anaesthesia. During the procedure, the surgeon:

• Makes a small incision in the hernia area
• Places the protruding tissues back into the abdominal cavity
• Reinforces and closes the hernia opening with stitches or special mesh material (if necessary)
  The surgery usually lasts 30-60 minutes and is a routine procedure for experienced paediatric surgeons.

Recovery

• Most children can go home on the day of the surgery.
• The recovery period is about one to two weeks, during which time it is recommended to limit physical exertion.
• Most children recover fully and without any complications.
• Possible but rare complications include wound infection or hernia reoccurrence.

Abdominal wall hernia repair is a safe and effective procedure that ensures the child’s well-being and prevents major health risks in the future.

More information on wound care and at-home treatment is available HERE.