Epigastric hernia

  • Epigastric hernia result from a defect or weakness in the abdominal wall between the chest and the belly button.
  • These weakness allows the tissue like  in the abdomen to protrude resulting in a bulge.
  • These hernias usually contain small amount of fatty tissue and rarely contains the bowel or intestine.
  • They are usually asymptomatic but sometimes they can be source of great pain.
  • If an epigastric is not treated it may increase in size and may become strangulated or incarcerated.epigastric-hernia

Management of Epigastric hernia

Epigastric hernia management is very similar to umbilical hernia. It too can be repaired both by conventional open technique or laparoscopic approach.

Open repair

  • Nowadays, open conventional technique for epigastric hernia is reserved for small  hernia less than 2 cm is size.
  • It can be performed as a day care procedure and is performed under short GA.
  • A small cut is placed over the defect and the hernia contents are dissected and reduced.
  • A small mesh is placed over the defect and it is ensured that the mesh covers the entire defect adequately.
  • The patients are usually discharged on the same day.

Laparoscopic repair

  • We usually advise the patients to undergo laparoscopic repair especially if the epigastric hernia is large.
  • Three small cuts about 1 cm in size are made in the abdomen.
  • A long telescopic camera is introduced into the abdomen along with long, thin instruments
  • The hernia contents are reduced and then a large mesh is secured on the defect. The mesh is tailored to extend past the outside edges of each individual hernia.
  • The mesh will act as a sturdy platform for all new tissue growth and also as a support for the existing abdominal wall muscle.
  • The patients are usually discharged within 24 hours of surgery.
  • The advantages of laparoscopic surgery is faster recovery, lesser pain, better cosmesis and above all ,almost no chances of recurrence.
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