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Epigastric Hernia

Evaluation of small abdominal wall hernia along the linea alba between umbilicus and xiphoid.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Epigastric Hernia?

Epigastric hernia is the protrusion of preperitoneal fat or rarely omentum through a defect in the linea alba between the xiphoid bone and the umbilicus. It is usually small and single-defect, mostly an omental hernia not containing bowel.

It is three times more common in men than in women. It is mostly asymptomatic or presents with mild localized pain; however, entrapment of fatty tissue may cause chronic pain in the epigastric region.

Primary suture repair is sufficient for small defects, while large defects and recurrences require mesh placement.

Symptoms

Small soft swelling above the umbilicus
Protrusion that becomes prominent with coughing, straining, or standing
Chronic pain in the epigastric region (omental entrapment)
Sudden severe pain and tenderness in strangulation

Risk Factors

Male gender and middle age
Obesity and increased intra-abdominal pressure
Chronic cough and constipation
Heavy physical workload
Connective tissue weakness

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Growing swelling above the umbilicus
  • Tenderness in the swelling and inability to reduce it (strangulation)
  • Epigastric pain affecting daily activity
  • Growing or painful epigastric mass in children

Treatment Methods

01
Primary fascial suture: sufficient for small defects (<1 cm)
02
Mesh repair (onlay, sublay): for large or recurrent defects
03
Laparoscopic IPOM: minimally invasive mesh placement
04
Emergency surgery and tissue assessment in strangulation
05
Weight loss and smoking cessation are recommended before surgery

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.