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Small Umbilical Hernia Repair Advice
Melina – Sounds like your goals are relief of symptoms, and preventing this from getting worse (i.e. avoiding recurrence after repair). The, and least invasive option for you would be an open crease incision, with a small ventral patch (mesh) placed pre-peritoneally with the defect closed over the top. This will have a lower chance of recurrence compared to no mesh, and a higher chance of missing adjacent hernias compared to lap. These differences however are small, and this approach is an excellent choice for someone desiring a minimally invasive approach and minimizing risk of recurrence (which is never zero). Here’s a link to an abstract for an article I published on the subject a couple years ago. http://www.ncbi.nlm.nih.gov/pubmed/?term=umbilical+heria+earlre
Best of luck. Hope this helps!
Dr. David Earle