Difference between umbilical and paraumbilical hernia
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A direct or true umbilical hernia consists of a symmetric protrusion through the umbilical ring and is seen in neonates or infants. Indirect umbilical (paraumbilical) hernias protrude above or below the umbilicus and are the most common type of umbilical hernia in adults
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Occurs following failed fusion of the anterior abdominal wall after birth.
Often evident a few days after delivery.
The hernias are usually small.
The underlying defect is usually smaller than the visible hernia.
A cough reflex is present.
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