Causes Of Epigastric Hernia
An epigastric hernia usually occurs at birth but it can develop in adults as well on rare occasions. With adults, it can be caused by the weakening of the abdominal wall, coughing, straining on the toilet, heavy lifting, obesity or a build up of fluid in the abdomen.
Symptoms Of Epigastric Hernia
In babies and young children, there will be a noticeable lump which will be more apparent when pressure is put upon the abdomen. In adults, there is usually swelling or a bulge in the abdomen which is usually visible when you apply pressure on the area; ie bowel movements, coughing or lifting. The size of the bulge is usually between the size of a small grape to a large grapefruit and will depend on how large the hole becomes and how much is able to push out.
Treatment For Epigastric Hernia
Surgery is the recommended option. Even though an epigastric hernia can be relatively painless, if left alone they will always enlarge, and like all hernias, if left alone they are likely to run the risk of strangulation or can become more difficult to repair.
Mr Martin Kurzer recommends the open mesh repair as he believes this provides the most secure repair. Keyhole surgery (laparoscopic repair) is also a recommended option for repairing an epigastric hernia. You can review the types of hernia repair methods that we offer at London Hernia and then contact one of our expert Consultants to discuss the best surgical procedure for your individual case.
Many hernias do not hurt so the temptation is to leave them and get on with life. However, failing to get medical advice can be damaging and is not recommended. If left the hernia will grow and discomfort and pain, even if negligible to start with, will intensify.