How is an abdominal epigastric hernia surgically repaired?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Immediately before the operation, the defect should be marked with the patient standing. After anesthetic induction, a small vertical incision directly overlying the defect is carried to the linea alba. Incarcerated preperitoneal fat may be either excised or returned to the properitoneum. The edges of the fascial defect are approximated transversely with interrupted sutures. Recurrence is rare, though a second epigastric hernia may develop elsewhere as a separate defect.


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