3.2.1 Closure of the hernia opening by directly suturing it

In general, umbilical hernias have only a relatively small hernia opening of between 1 and 2 cm. On rare occasions, this is also the case for epigastric hernia or incisional hernia following small abdominal incisions (e.g. appendix removal). In such cases, the hernia opening can be closed by directly applying a non-absorbable suture to it. The defect is closed using several sutures. A synthetic mesh can be used for addition reinforcement.
 
This operation can be conducted under general anaesthesia, spinal anaesthesia or local anaesthesia.