List the abnormalities? What are the Radiological signs you have picked up?

Dr. Sudhir Mehta sends you a special video invite for a CME event on the topic "Plastic surgery update" to be held in Ambala city on 13th February. Let's hear him out.

spot the diagnosis

Update to previous case .

55 year old male presented with swelling which increases on straining and coughing in the umbilicus for 30 days. There is no associated pain/fever/vomiting Past medical and surgical history unremarkable. L/E: Defect in the umbilicus of around 3-4mm in diameter. Best surgical procedure and other treatment options for this patient?