This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: FMGE 2019, Subject name: Surgery
A child of 6 months was presented with following presentation. What is the management protocol? 
Select and explain. 
A. Indication of surgery if not resolve by 2 years, B. Surgery after 5 years, C. Immediate surgery, D. Hernioplasty
B: Surgery after 5 years
Answer: B: Surgery after 5 years 
Explanation: Image shown is of an infant with Umbilical hernia - Hernia occurring directly through umbilicus Closes spontaneously in majority of cases by 2 years. Treatment - Indications of surgery If it persists beyond 5yrs age Symptomatic patients Strangulation Size > 2 cm Progressive enlargement of hernia after 1-2 years Maximum time to wait- 5 years - Small defects - Closed primarily - Size of defect >3cm - Prosthetic mesh - MAYO'S REPAIR