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About Epigastric Hernia

An epigastric hernia is a form of hernia that occurs in the upper part of the abdominal wall and is identified by lumps or bulges. It's immediately below the sternum of your rib cage, just above the belly button.

The epigastric hernia affects both adults and children and is rather prevalent. Epigastric hernias can develop at any age. They can vary in size, and more than one epigastric hernia can exist at the same time.

An epigastric hernia is usually tiny, with merely the abdominal lining breaking through the surrounding tissue. Larger hernias, on the other hand, may cause fatty tissue or a section of the stomach to protrude.

For many people, minor hernias do not pose problems, may only arise at certain times, and may not be obvious. Many people don't even realize that they are suffering from a hernia in their stomach.

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Causes of Epigastric Hernia:

An epigastric hernia develops as a result of abdominal wall muscle weakness or inadequate abdominal tissue closure during development. It is a condition that most people have from birth itself.

Epigastric hernias can be caused or exacerbated by various reasons, which includes:

01.
Weight lifting
02.
Physical labor
03.
Intensive training or sports
04.
Coughing fits
05.
Obesity
06.
Pregnancy
Symptoms of Epigastric Hernia:

The majority of people with epigastric hernias have no symptoms. Some people are completely ignorant that they have an epigastric hernia throughout their childhood and youth.

Certain movements, such as straining, weeping, or having a bowel movement, might cause or intensify few symptoms like:

Weight lifting
Physical labor
Intensive training or sports
Coughing fits
Obesity
Pregnancy
How is Epigastric hernia treated?

An epigastric hernia can only be repaired through surgery. Due to the possibility of the hernia expanding and generating further difficulties and pain, it is the recommended treatment, especially for infants.

Surgical repair can be done under general anaesthesia or local anaesthesia, depending on the patient's request and the surgeon's advice.

Surgical Procedure

A laparoscope will be inserted through an incision in the hernia. This is a narrow tube with a light that the surgeon uses to examine the abdominal organs and hernia. A second incision will be made for surgical instruments by the surgeon.
The hernia sac (the section of the tissue pushing out) will be moved to its original position by the surgeon. They will also help to strengthen the abdominal wall muscles.

The surgeon may stitch up the area causing muscular weakness if it is minor. Sutures are permanent stitches that prevent the hernia from pushing through again.

A patch of nylon mesh sewn in place to conceal the hole may be required for large areas of muscle weakness. For those who have previously refused alternative surgical implants, however, this may not be the best option.
The surgeon will remove the laparoscope and close the surgical incision after the hernia sac is in the proper position and the suture or mesh is in place.

To seal the wound, dissolvable stitches are widely utilized. The surgeon will then apply a waterproof dressing to the wound.

To treat the epigastric hernia, the best surgical treatment is offered by Kapadia Hospital in Mumbai.

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