RT Book, Section A1 Doherty, Gerard M. SR Print(0) ID 58103987 T1 Umbilical Hernia T2 Quick Answers Surgery YR 2010 FD 2010 PB The McGraw-Hill Companies PP New York, NY SN LK accesssurgery.mhmedical.com/content.aspx?aid=58103987 RD 2024/04/25 AB • Bulge elicited by the Valsalva maneuver at the umbilicus• Main complaint associated with umbilical hernias is the cosmetic appearance• Patients may note discomfort or a heaviness sensation associated with the hernia bulge• The hernia sac usually contains only pre-peritoneal fat although small bowel or other abdominal viscera may be present• Classification of incisional hernias-Reducible: Visceral contents of the hernia sac able to retract into the abdominal cavity-Incarcerated: Visceral contents cannot be returned to the abdominal cavity-Strangulated: Incarcerated hernia where the blood flow to the entrapped viscera is compromised