After Umbilical Hernia Repair (Pediatric)
Your child had a procedure called umbilical hernia repair. A hernia is a weakness or tear in the wall of the belly. An umbilical hernia looks like a bubble or bulge near your child’s bellybutton. Although many umbilical hernias close on their own, some need surgery. During your child’s surgery, the healthcare provider made a small incision and repaired the muscle. Here are some instructions to help you care for child once at home.
Recommendations for home care include the following:
Your child's dressing will stay in place for about 48 hours.
Do not let your child’s dressing get wet. Give your child sponge baths to keep him or her clean.
Do not allow your child to shower, take a bath, or get in a swimming pool or hot tub until the healthcare provider says it’s OK.
Give your child pain medicines as directed by the healthcare provider. Pain tends to lessen or go away after 2 days.
Try to keep your child calm and quiet for 3 to 4 days following surgery. This will help keep the incisions from opening. After that, your child can resume most normal activities, such as daycare or school, as directed by your healthcare provider.
Do not allow your child to play rough sports until advised by your surgeon.
Allow your child to eat or drink as desired.
When to call your child’s healthcare provider
Call the healthcare provider right away if your child has any of the following:
Fever (see Fever and children, below)
Vomiting or nausea that doesn’t go away
Severe belly pain
Redness, swelling, warmth, or pain at the incision site
Drainage, pus, or bleeding from the incision
The incision opens up or pulls apart
Does not have a bowel movement 3 days after surgery
Fever and children
Always use a digital thermometer to check your child’s temperature. Never use a mercury thermometer.
For infants and toddlers, be sure to use a rectal thermometer correctly. A rectal thermometer may accidentally poke a hole in (perforate) the rectum. It may also pass on germs from the stool. Always follow the product maker’s directions for proper use. If you don’t feel comfortable taking a rectal temperature, use another method. When you talk to your child’s healthcare provider, tell him or her which method you used to take your child’s temperature.
Here are guidelines for fever temperature. Ear temperatures aren’t accurate before 6 months of age. Don’t take an oral temperature until your child is at least 4 years old.
Infant under 3 months old:
Ask your child’s healthcare provider how you should take the temperature.
Rectal or forehead (temporal artery) temperature of 100.4°F (38°C) or higher, or as directed by the provider
Armpit temperature of 99°F (37.2°C) or higher, or as directed by the provider
Child age 3 to 36 months:
Rectal, forehead (temporal artery), or ear temperature of 102°F (38.9°C) or higher, or as directed by the provider
Armpit temperature of 101°F (38.3°C) or higher, or as directed by the provider
Child of any age:
Repeated temperature of 104°F (40°C) or higher, or as directed by the provider
Fever that lasts more than 24 hours in a child under 2 years old. Or a fever that lasts for 3 days in a child 2 years or older.
August 15, 2018
Fever in infants and children: Pathophysiology and management. UpToDate
Adler, Liora C., MD,Fraser, Marianne, MSN, RN,Turley, Ray, BSN, MSN