Navel protrusion

Sometimes a protrusion occurs in the navel, and it occurs either as a result of a certain divergence of the walls, or it is like dropsy, when water or wind accumulates in only this one place. Sometimes this is caused by a vein or artery draining blood, and sometimes it is caused by a hard tumor or excess meat under the skin.

Signs. When there is a protrusion due to the release of the omentum or intestine, the color of the navel is exactly the same as the color of the rest of the body, and its position is not always the same, especially with an intestinal hernia. An intestinal hernia is accompanied by some pain and disappears with kneading; sometimes it disappears with a purr. The use of relaxing baths and rubbing, as well as movement, increase its size. Protrusion due to moisture cannot be returned by pressure; it is soft, and kneading does not change its size, and the color of the navel is the same as the color of the body. The protrusion from the winds is even softer and has less resistance than when it is wet; it has a drum sound. When protruding from blood, the navel is blood-colored or black, and what comes from increased flesh or hardening is hard, hard and does not knead as easily as in other cases.

Treatment. If there is a protrusion due to the opening of a vessel that is not beating, you should not undertake its treatment, because if you undertake this, you will definitely have to go through an incision and suturing. And for other types of protrusion, the treatment is as follows: lift the patient and make him strain his stomach and hold his breath so that the protrusion becomes obvious, and when it is clearly visible, circle it with a color that stands out on the body, then tell the patient to lie on his back and lift the circle with hooks, delimiting it, and the hooks should only grasp the walls of the abdomen, without taking what is underneath them. Then you insert a needle and thread so that it does not touch the body underneath, and make an incision that exposes only what lies under the walls of the abdomen. If there is intestine underneath, you push it down, and if it is an omentum, you pull it out and cut off the excess that protrudes. Then you sew up the torn area with strong, opposing threads that interlock with each other, secure them at the waist and sew up the cut, leaving the four ends of the threads on the outside. Make sure that the excess falls off and heal the rest, trying to ensure that the cut heals in the depths and not from the outside, and does not look ugly. And for a wind hernia, the method of treatment is also a puncture and an incision, which is then stitched together as was said.