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    Includes Expert Content
    Umbilical hernia versus granuloma post hysterectomy
    MommaCoco posted:
    I had a (partial) hysterectomy, and have developed this "Umbilical hernia versus granuloma," what is the treatment options? Can it be removed?
    Jane Harrison Hohner, RN, RNP responded:
    Dear MommaCoco: An umbilical hernia near the bellybutton is similar to the a hernia in the groin area. A weakness in the muscular wall of the abdomen (eg at the site of an incision) allows internal structures (usually intestine) to push out and show up as a soft bulge. Here is an excellent overview (including treatment options) on umbilical hernias:

    A granuloma is an area of inflammation which feels like a firm lump. In your case it can arise from an injury such as a surgical incision. Often it does not cause symptoms. If indicated it can be removed surgically.

    The surgeon who is doing your work up would be in the best position to give you the exact diagnosis. The correct diagnosis would then dictate if further treatment was necessary.

    As a personal aside, I once had a patient who developed a huge abdominal hernia following abdominal hysterectomy. Her abdomen measured like a 20 week pregnancy before surgical repair of the hernia.

    MommaCoco replied to Jane Harrison Hohner, RN, RNP's response:
    thank you. the doctor who did my surgery is refusing to fix it, stating he cannot do it, and is trying to refer me elsewhere...

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