Ultrasound report : Umbilical hernia noted with herniation of Omentum through the defect. Herniated contents (omentum) are irreducible. Thickening of herniated omentum. Note: Hernia does not contain small intestine. Symptoms: Having moderate pain and little darkness(red to maroon colour) of hernia which contains omentum. Question : The umbilical hernia contains only omentum which is irreducible and  thickening (inflamation) of Omentum is there so does it require surgery ?