Treatment Options for Epigastric Hernia

An epigastric hernia occurs when fatty tissue pushes through a weak spot in the abdominal muscles, typically between the navel and the lower part of the sternum. In severe cases, a visible white bulge may appear in the middle of the abdomen. If symptoms such as pain or discomfort arise, surgical intervention is often recommended to prevent complications like incarceration or strangulation.

Types of Epigastric Hernia

Epigastric hernias can be classified into two main categories: hernias with a hernial sac and those without. Some individuals may not experience any symptoms at all, remaining unaware of the condition until it is detected during a routine medical examination or an abdominal ultrasound.

When Is Treatment Necessary?

For patients who do not exhibit symptoms, doctors may recommend a "watchful waiting" approach, involving regular follow-ups and monitoring. However, if the hernia becomes painful or shows signs of growth, surgical repair is typically advised to avoid potential complications.

Surgical Approaches

In children or cases where the defect is small and underdeveloped, a simple surgical procedure to close the opening may be sufficient. For adults, especially those with larger defects, a mesh repair is often preferred. The use of a synthetic mesh provides added support to the weakened abdominal wall, reducing the risk of recurrence and promoting a faster recovery.