Epigastric hernia
Epigastric Hernia Repair and Treatment
Specialist assessment and treatment of epigastric hernias affecting the upper midline abdominal wall.
Overview
Understanding epigastric hernia
An epigastric hernia is a small protrusion through a weakness in the abdominal wall between the breastbone and the umbilicus. It may contain fatty tissue and can cause a visible lump, discomfort or pain.
When to seek urgent help
If an epigastric hernia becomes very painful and cannot be pushed back, urgent surgical assessment is needed.
What is an epigastric hernia?
An epigastric hernia occurs when tissue pushes through a weakness in the midline muscles or tendons of the upper abdomen. It is usually found below the breastbone and above the navel.
Who gets epigastric hernias?
Epigastric hernias can occur in adults of any age, but are more common in men and are associated with increased abdominal pressure, including obesity, heavy lifting, chronic coughing and straining.
Epigastric hernia symptoms
Many epigastric hernias are painless. Some cause a lump, tenderness, aching or discomfort after exercise or eating.
Diagnosis
Diagnosis is usually made by examination. If the hernia is small, difficult to feel or symptoms are unclear, ultrasound or CT imaging may be used.
When is surgery recommended?
Small, minimally symptomatic hernias can sometimes be monitored. Repair is often recommended when the hernia is painful, increasing in size, cosmetically concerning or at risk of becoming trapped.
Epigastric hernia repair
Surgery usually involves an incision over the lump, returning the hernia contents and closing the defect with permanent sutures. Mesh may be used for larger defects or where reinforcement is needed.
Recovery after epigastric hernia surgery
Most patients go home the same day. Gentle movement is encouraged soon after surgery and activity is increased gradually according to the repair and individual recovery.
Risks of surgery
Risks can include wound infection, bleeding, bruising, seroma, discomfort and recurrence.
Frequently asked questions
Epigastric hernia FAQs
Can an epigastric hernia go away without surgery?
An epigastric hernia will not close by itself in adults, although small hernias with minimal symptoms may sometimes be observed.
When is epigastric hernia repair recommended?
Repair may be advised if the hernia is painful, enlarging, cosmetically troublesome or at risk of becoming trapped or irreducible.
Is mesh always needed for an epigastric hernia?
Not always. Small defects may be repaired with stitches, while larger defects or higher-risk cases may be reinforced with mesh.
How soon can I return to normal activity after repair?
Many patients return to light activities quickly, but heavy lifting is restricted for a period advised by the surgeon.
How is epigastric hernia repair performed?
Repair is usually performed through an incision over the lump, with the defect closed using stitches. Mesh may be used when the defect is larger or reinforcement is needed.
Specialist care in Manchester
Book a consultation with Mr Christian Macutkiewicz
Arrange a private consultation at Spire Manchester Hospital to discuss your symptoms, diagnosis and treatment options.
Hernia Clinic Manchester 