Umbilical hernia omentum 1. 5 cm.?

1) hernia needs to be taken care surgically. Even if she does not have symptoms now but sometimes it can present acutely with severe pain and distress, considering her age and medical condition it should be dealt with elective operative procedure. 2) you should meet a general surgeon and after getting a good glycemic control it can be operated. 3) yes it is mandatory to get is operated surgically, it might land up in complications like strangulation or obstruction if not treated.

Visit a general surgeon for consultation and surgery planning and any doubts related to surgery .

Avoid straining and lifting heavy weight. Good glycemic control

If it’s asymptomatic can be wait

Consultation is must to surgeon

Aviod heavy weight lifting

It sounds like your mother has had a very stressful few days with the fall and the high sugar levels. Regarding the umbilical hernia found on the scan, here is what you need to know in simple terms: - It is not an emergency right now: Since your mother currently has no symptoms, the hernia is not an immediate danger. - When to worry: It only becomes an emergency if it becomes "obstructed". You must watch out for specific red flags like vomiting, a swollen/bloated abdomen, or if she is unable to pass gas or stool. - The long-term risk: Even though she feels fine now, there is always a risk that the hernia could get trapped or blocked later on. - Surgery is advised: If your mother is otherwise fit and healthy enough for an operation, it is generally better to have a planned surgery rather than waiting for it to become an emergency. A planned surgery is much safer and easier to manage. - Next steps: For now, focus on letting her rib fracture heal and keeping her sugar levels stable. Once those issues have settled, you should consult a general surgeon to discuss a permanent fix. Dr. Akash Ranjan Vijay Ranjan Singh MBBS (AIIMS), MS General Surgery (AIIMS)

If there is no symptoms then don’t worry about it if there us symptoms will develope then visit to nearest surgeon Defect is large to develop symptoms bcuz it is reducible if it’s become irreducible then consult surgeon

Reduction of weight Rest for rib fracture

For umbilical hernia or 1.5 cms, your mother can currently use abdominal binder in the day time (it has to be removed while sleeping). She should stop lifting heavy weights in any form and care should be taken to avoid constipation by making necessary dietary modifications. Once she recovers from rib fracture pain and her blood sugars are within normal limits, she can undergo surgery for umbilical hernia (open surgery or laparoscopy). For umbilical hernia, you can plan surgery based on your convenience while following these conservative measures and also based on the patient health condition. If she doesn’t undergo surgery, and if there is sudden bout of severe cough/ while lifting heavy weights, it may lead to irreducibility and further complication of the hernia. So getting surgery done at right time is important.