Hernias feel like a soft lump, bulge or swelling under the skin in the groin or around the belly button. You may notice the swelling when your baby cries or coughs. Typically, a pediatrician will make the diagnosis during one of your baby’s check-ups and refer your child to a Duke pediatric general surgeon if surgery is necessary.
Inguinal Hernia
Occur in the groin area and are more common in premature infants. It typically develops when the canal that connects the abdomen to the genitals doesn’t close prior to birth. Surgery is needed to repair the connection because a piece of the intestine can move into this canal and become trapped. This is a serious concern that needs prompt surgical repair as the intestine can be cut off from the blood supply and become damaged.
Umbilical Hernia
Occur around the belly button when the abdominal muscles don’t fully close following birth. Many umbilical hernias close on their own by the time a baby is 3 years old. Most umbilical hernias close on their own without surgery. Surgery may be necessary if an umbilical hernia has not closed by age 3. In rare cases, surgery may occur sooner if the intestines cannot be pushed into the abdomen. This can cut off the blood supply and damage the abdominal muscles.
