Epigastric hernia
A guide to epigastric hernia surgery
What is an epigastric hernia?
An epigastric hernia occurs when fatty tissue pushes through a weak area in the abdominal wall between the breastbone and the belly button. It often appears as a small lump in the upper abdomen and may become more noticeable when coughing, straining or exercising.
Some epigastric hernias cause no symptoms, while others can result in pain or tenderness around the lump, particularly during physical activity. They can vary in size and may gradually become larger over time.
An epigastric hernia will not usually repair itself. If it is causing pain, increasing in size or affecting your everyday activities, surgical repair may be recommended. Mr Tewari can assess the hernia and discuss the most appropriate treatment options with you.
How is an epigastric hernia treated?
An epigastric hernia can only be permanently repaired with surgery, although an operation may not be necessary if the hernia is small and is not causing troublesome symptoms. If surgery is recommended, the protruding tissue is returned to the abdomen and the opening in the abdominal wall is repaired.
Depending on the size of the hernia, the repair may be performed using stitches alone or a surgical mesh may be used to strengthen the weakened area and reduce the risk of the hernia returning. Surgery may be performed using an open or laparoscopic approach depending on the nature of the hernia.
Mr Tewari will assess your hernia and discuss the available treatment options with you before recommending the most appropriate approach for your individual circumstances.
What can I expect after epigastric hernia surgery?
Most people are able to go home on the same day following epigastric hernia surgery. Some pain, swelling or bruising around the surgical area is normal afterwards and can usually be managed with appropriate pain relief.
You will be encouraged to move around as soon as you feel able and gradually increase your activity as you recover. You will be given advice about caring for the wound and when you can safely return to activities such as driving, work, exercise and heavier lifting.
Recovery time will vary depending on the size of the hernia, the type of repair performed and your individual circumstances. Mr Tewari will explain what to expect following your operation and provide appropriate aftercare and follow-up advice.
Book an appointment
If you believe you need epigastric hernia surgery or you have been referred to us by your doctor, please contact us to book an appointment.