Emergency Repair Recommendations for Umbilical Hernias

Intestinal Incarceration without Strangulation

The World Journal of Emergency Surgery guidelines recommend synthetic mesh repair for incarcerated umbilical hernias without strangulation (Grade 1A evidence). 1, 2

Intestinal Strangulation or Need for Bowel Resection

The World Journal of Emergency Surgery guidelines state that synthetic mesh can be safely used in clean‑contaminated fields when intestinal strangulation or bowel resection is required (Grade 1A evidence). 1, 2, 4