Umbilical Hernia

Overview

4.6 out of 5 (33 Reviews)

Credits

1.50

Post-Assessment Questions

7

Start Date

1 Sep 2023

Last Review Date

27 Feb 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes


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Activity Description

An umbilical hernia is a defect in the ventral abdominal wall, typically located near the umbilicus, and is often diagnosed during routine physical examinations. While many adult umbilical hernias are asymptomatic, approximately 65% will eventually require surgical repair, with 3% to 5% necessitating emergency intervention due to incarceration or strangulation of intra-abdominal contents such as the omentum or bowel. Ideally, surgical repair should be performed before such complications occur. Umbilical herniorrhaphy can be performed using various surgical techniques and may involve the use of synthetic or biologic mesh, depending on the size of the hernia, patient-specific factors, and the presence of contamination. Risk factors for umbilical hernias include obesity, ascites, multiple pregnancies, connective tissue disorders, and chronic elevations in intra-abdominal pressure. Although the diagnosis is primarily clinical, imaging modalities such as ultrasound, computed tomography, or magnetic resonance imaging may aid evaluation when the physical examination is inconclusive.

Surgical repair is indicated for symptomatic or enlarging hernias and is typically performed using mesh for defects larger than 2 cm in diameter. Laparoscopic and robotic techniques may be appropriate in select cases. Nonoperative management may be considered in asymptomatic individuals with low risk, but careful monitoring is essential. Preoperative optimization, including smoking cessation and weight management, helps reduce complications. This activity addresses umbilical hernias in adults and comprehensively reviews their etiology, epidemiology, evaluation, management, and potential complications. This activity also highlights the crucial role of the interprofessional healthcare team in achieving optimal outcomes for patients with this common anterior abdominal wall defect.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify key anatomical features, risk factors, and clinical presentations associated with umbilical hernias in adult patients.

  • Implement evidence-based guidelines for the management of asymptomatic and symptomatic umbilical hernias.

  • Select the most suitable surgical approach, including the type of mesh and technique, based on individual patient factors.

  • Collaborate with the interprofessional healthcare team to ensure timely referral and optimize perioperative planning to improve outcomes for adult patients with an umbilical hernia.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Pediatrics: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.50 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

American Board of Thoracic Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment in Practice requirements of the American Board of Thoracic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABTS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Kevin O. on 7/10/2021

Hugo N. on 11/1/2021

Dr.Ayodhyaprasad S. on 6/15/2022

Drew M. on 4/7/2022

Kimberly Y. on 9/1/2022

Sarah R. on 2/22/2023

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Daniel C. on 4/1/2023

Jason R. on 7/26/2023

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Jason R. on 12/20/2023

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Sarah R. on 3/11/2024

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Jarrod R. on 1/4/2025

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JOANNA P. on 5/31/2025

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JD F. on 8/8/2025

michael m. on 8/26/2025

Michelle R. on 9/21/2025

Stephen W. on 10/14/2025

rodney m. on 10/18/2025

Nice cases.

Jonathan R. on 10/25/2025

Katie L. on 4/2/2026

Jennifer H. on 6/1/2026

Cera K. on 6/14/2026

Unlimited Physician CME

Stay up to date on the latest medical knowledge with 6344 CME activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 7563 hours of CME.

Learn About Lifetime CME

Single Activity

Take this single activity

$73.50 1 activity

6 Month Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

$399 per half year per user

1 Year Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

$649 per 1 year per user