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An epigastric hernia is a type of hernia that causes fat to push through a weakened area in the walls of the abdomen. It may develop in the epigastrium (upper, central part of the abdomen ). Epigastric hernias are more common in adults and usually appear above the umbilical region of the abdomen.
Hernia repair is a surgical operation for the correction of a hernia—a bulging of internal organs or tissues through the wall that contains it. It can be of two different types: herniorrhaphy; or hernioplasty. [1] This operation may be performed to correct hernias of the abdomen, groin, diaphragm, brain, or at the site of a previous operation.
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The condition can be diagnosed by physical exam, and must be differentiated from an epigastric hernia or incisional hernia, if the patient has had abdominal surgery. [3] Hernias may be ruled out using ultrasound. [6] In infants, they typically result from a minor defect of the linea alba between the rectus abdominis muscles.
A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal canal, is known as a direct inguinal hernia. In males with strong presentation of the cremasteric reflex , the testes can—during supine sexual activity or manual manipulation—partially or fully retract into the ...
A direct hernia occurs medial to the lateral umbilical fold, whereas an indirect hernia originates lateral to the fold. This latter case is due to the placement of the opening of the deep inguinal ring in the space lateral to the lateral umbilical fold, which allows the passage of the ductus deferens , testicular artery , and other components ...
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