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Umbilical hernia repair is a simple operation to fix umbilical hernias. An umbilical hernia involves a pouch or bulge forming in the abdomen that occurs when part of the bowel or fatty tissue pushes through a weak spot in or near the belly button. It is common in infants and children, especially in premature babies. In some cases, it may also develop in adults.
Umbilical hernias are easily treatable. In children, they do not always require surgical repair. However, surgery may be necessary if the hernia:
Causes pain and discomfort
Grows after the child is 1 to 2 years old
The intestines are within the bulge
The hernia becomes trapped
The bulge is still present by the age of 4 years.
For most adults with an umbilical hernia, surgery is recommended because the risk of complications is higher and the hernia is unlikely to get better by itself.
Umbilical hernia repair is performed to push the bulge back into place and to strengthen the weak spot in the abdominal wall.
Before the umbilical hernia repair begins, you are given a general anesthetic, which means you are “asleep” during the procedure and will not feel any pain. Occasionally, local anesthetic may be used instead. With this type of anesthetic, you remain awake but the area being operated on is numbed. A local anesthetic is only used in adults who have a small hernia.
The surgeon will start the procedure by making a small incision of around 2 to 3 cm at the base of the belly button. Then, the fatty lump or loop of the bowel is pushed back into the tummy. Then, the surgeon stitches together the muscle layers at the weak spot where the hernia came through to strengthen them. For adults or for those with large umbilical hernias, a special mesh patch may be used to strengthen the area instead of stitches. Once the surgeon is done fixing the hernia and strengthening the weak spot, the incision is closed with special surgical glue or dissolvable stitches.
You generally should be able to leave the hospital on the same day. However, in some cases, you may need to stay in the hospital overnight. It is recommended that you stay in Nepal for at least 7 days. During your stay, you will need to attend a follow-up checkup where your doctor assesses your healing.
You can gradually resume your normal activities over time until you can do them without feeling any pain. Most patients can perform light activities within 1 or 2 weeks. If you work in an office job, you may be able to return to work in 1 or 2 weeks. However, strenuous activities and heavy lifting should be avoided for about 4 to 6 weeks. Therefore, if you work a manual job, it is wise to wait at least 4 weeks until you return to work.
Children can go back to school in about a week, but they should be excused from games and sports for at least 2 weeks. Make sure your children avoid contact sports for 6 to 8 weeks.
Your doctor will give you instructions on how to care for yourself or your child at home. It is very important that you follow everything in the instructions. Here are some things you will need to remember:
In most cases, your doctor will give pain-relieving medications to help ease pain and discomfort. Make sure to take the medications as prescribed.
If your doctor does not prescribe pain killers, you can take over-the-counter medications. However, make sure to consult your doctor beforehand. You can give your child paracetamol and ibuprofen. However, do not give your child aspirin if they are under 16 years old.
Wear loose clothing to help reduce any discomfort.
Your doctor will give you instructions to care for the wound and bathing, make sure to follow it.
Make sure to drink lots of fluids and eat plenty of fruit, vegetables, and high-fiber food to avoid constipation as this can cause pain around the wound.
Umbilical hernia repair is a low-risk procedure. It is generally safe and effective. However, an umbilical hernia can reoccur. According to a study, the recurrence rate after umbilical hernia repair is 8.9%.
While the procedure is safe, complications can still occur, particularly if you have other serious medical conditions. It is important that you talk to your doctor if you are concerned about the risks. Other risks of the procedure (unrelated to other medical conditions) are:
Blood clots
Infection
Injury to nearby structures
Allergic reaction to anesthesia.
Treatment for umbilical hernia is not always required as it may resolve by itself. In children, your doctor may be able to push the lump back into the abdomen. However, adults may not have another alternative to surgery.
Before you undergo an umbilical hernia repair, your hernia may cause pain and discomfort. It may also complicate other serious problems. After the procedure, all symptoms should be relieved and there is no risk of the hernia to complicate.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Nepal is a country in South Asia, sandwiched between India and China. Home to the mighty Mount Everest, this incredible country has diverse landscapes, from the Himalayan Mountains in the north to the sprawling plains in the south. Towering mountains, charming hill villages, golden mountains, and jungle wildlife, Nepal is truly one of the world’s best travel destinations. Beyond its nature and culture, this country is also increasingly popular for its healthcare. With its affordable high-quality medical facilities, Nepal is considered to have immense potential for medical tourism, due to the availability of good infrastructure, highly trained specialists, modern medical equipment, and relatively cheaper medical treatment. In fact, it’s currently the fastest-growing segment of the country’s tourism. Medical tourists coming to Nepal are usually seeking exceptionally high medical treatment at competitive rates. Some of the most sought after procedures are dental treatments, cardiac services, and neurological treatments.
Kathmandu, the capital and largest city in Nepal, is historic, enticing, spiritual, and vibrant. One of the most famous attractions in the city is the old town, where tourists can find the most popular Tibetan pilgrimage site, the Kathesimbhu Stupa. Another top attraction is Kumari Bahal, which is the home of the Kumari, the girl who is selected to be the town’s living symbol of Devi. Tourists looking to relax in a more laid-back vibe usually go to Pokhara. Stretching along the shore of an idyllic lake, it offers spectacular scenery. It also boasts a thriving adventure-sports industry, from paragliding to paddle boats. Anyone who wants to experience an ancient way of life should visit Bhaktapur, which is filled with artisan weave cloths, amazing cuisine, and beautiful temples.
The main international airport in Nepal is Tribhuvan International Airport, which serves flights to and from numerous cities in Asia, such as Delhi, Hong Kong, and Dubai. Getting around the country can be a challenge, but public transportation is available. Buses are affordable, however, they tend to be overloaded. Tourist buses are the best way to travel around as they are in good condition.
Citizens of India do not need a visa to enter Nepal without restrictions. Citizens of almost all nations, including the US and all EU countries, can obtain a visa on arrival that is valid for up to 90 days. Only holders of passports from 12 countries, need to have a visa in advance.
Nepal has five seasons. Spring starts in March until May, it offers pleasant weather that is not too cold nor too hot. Summer arrives in June and ends in August, bringing hot temperatures of around 28°C. Monsoon from June to September receives rain almost every day. Autumn and pre-winter bring sunny and pleasant weather, while winter can be very cold.
Local Currency: Nepali rupee (NPR) is the official currency. 1 USD converts to 115 NPR.
Money & Payments: ATMs are available in major cities, such as Kathmandu and Pokhara. Credit cards are accepted in major hotels and restaurants. Tipping is expected.
Local Language: The official language is Nepali. English is mainly spoken in tourism areas.
Local Culture and Religion: Hinduism and Buddhism coexist in Nepal peacefully. Islam, Kiratism, and Christianity are in the minority.
Public Holidays: Some of the most celebrated public holidays are Maha Shivaratri, Buddha Jayanti, Sambidhaan Diwas, and Bhaitika.