Are two to three times more common in men. These hernias are located between the xyphoid process (just below the sternum) and umbilicus and are usually within 5 to 6 cm of the umbilicus. They are multiple in up to 20% of patients, and about 80% are just off the midline. In the vast majority of cases, the defects are small in size.
Signs and Symptoms
- Bulge in the epigastric region is the main diagnostic finding in most of the cases; this bulge rarely changes in size with increases of intra-abdominal pressure or standing position.
- Pain usually is out of proportion to the size of the defect, due to the common incarceration of underlying fatty tissue.
This type of hernia is also repaired by Dr. Rosales using the traditional “open or conventional” technique. Simple closure of the defect, similar to umbilical hernias; small defects can be even repaired under local anesthesia.
Uncommonly, these defects can be sizeable and contain omentum (intra-abdominal fatty tissue) or other intra-abdominal viscera and may require mesh repairs.
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