• 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  occurs when fat pushes through a weak part of the belly wall

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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