Umbilical Hernia: To Repair or Not To Repair? Your Expert Guide to Making the Right Decision

TLDR: An umbilical hernia occurs when tissue pushes through a weak spot near the belly button. Surgery may be needed if it's large or painful — but if you have diastasis recti, the hernia is likely to return unless you heal the underlying separation first. Doing the Tupler Technique® program before any surgery is essential to strengthen your core and protect your sutures.

What is an umbilical hernia?

An umbilical hernia happens when a portion of either the bowel or fatty tissue protrudes through an area near the belly button, where intra-abdominal pressure pushes through a weak spot in the surrounding abdominal wall.

There are various types of hernia. An umbilical hernia happens when there is a weakness in the anterior abdominal wall that is situated under the navel.

Although easily treatable, they may occasionally become a serious medical condition.

Symptoms of Umbilical Hernia

An umbilical hernia looks like a bulge in the belly button area. It might become more obvious when laughing, going to the toilet, or coughing or when lying down, the lump may grow smaller.

Hernias in adults are more commonly found in women who have had several pregnancies, among overweight persons, and in people who have had abdominal surgery. Adults may feel pain if a hernia is large.

Why it needs to be repaired

Repairing your hernia can relieve pain and discomfort and remove the bulge in the navel. The hernia won't heal on its own.

Your doctor may recommend surgery if:


  • Your hernia is very large.

  • Your hernia causing you discomfort.


Your doctor will recommend surgery right away if:


You experience pain, a bloated belly, or other signs of a more serious problem such as a strangulated bowel. This may happen when a part of the intestine or abdominal tissue gets trapped in the hernia sac and loses its blood supply.

 

Preparation for repair is a must

Whether you decide to have hernia repair surgery for you umbilical hernia or not…..it is important to do the 4 step Tupler Technique ® Program first!

If you get your umbilical hernia repaired and you have a diastasis recti, more than likely it will reoccur! The umbilical hernia is a side effect of the diastasis recti. Closing a diastasis is all about healing the connective tissue. When you heal the connective tissue you then provide support to the umbilicus.

If you decide to have the surgery, by doing this program you will have both the strength and knowledge of how to use your abdominal muscles to be able to maintain the integrity of the sutures after your surgery.

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About Julie Tupler RN

Julie Tupler, RN, is a registered nurse, certified childbirth educator, certified personal trainer, and creator of the Tupler Technique® Program, which she developed in 1990. For more than 30 years, she has been teaching and developing the Tupler Technique® Program for the treatment of diastasis recti in women, men, and children. Through Diastasis Rehab, Julie teaches clients and professionals how to use the Tupler Technique® to help address abdominal separation with a non-surgical, research-based approach. She is also the author of multiple books on maternal fitness and diastasis recti, including Maternal Fitness, Lose Your Mummy Tummy, Together Tummy, and Will You Be My Belly Buddy?