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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.
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 pantaloon hernia (or saddlebag hernia) is a combined direct and indirect hernia when the hernial sac protrudes on either side of the inferior epigastric vessels. Additionally, though very rare, two or more indirect hernias may appear together such as in a double indirect hernia .
Fetal surgery, also known as antenatal surgery or prenatal surgery, [1] is a growing branch of maternal-fetal medicine that covers any of a broad range of surgical techniques that are used to treat congenital abnormalities in fetuses who are still in the pregnant uterus.
A Spigelian hernia is the type of ventral hernia that occurs through the Spigelian aponeurosis, which is the part of the aponeurosis of the transverse abdominal muscle bounded by the linea semilunaris (or Spigelian line) laterally and the lateral edge of the rectus abdominis muscle medially.
Abdominal guarding is the tensing of the abdominal wall muscles to guard inflamed organs within the abdomen from the pain of pressure upon them. The tensing is detected when the abdominal wall is pressed. [1]
Amyand's hernia is a rare form of an inguinal hernia (less than 1% of inguinal hernias) [2] which occurs when the appendix is included in the hernial sac and becomes incarcerated. The condition is an eponymous disease named after a French surgeon , Claudius Amyand (1660–1740), [ 3 ] who performed the first successful appendectomy in 1735.
RLP and inguinal hernia. Several cases of varicosity, of the round ligament during pregnancy leading to RLP have been reported although they were frequently misdiagnosed as inguinal hernia. [11] In one case, a woman in the 28th week of gestation developed a lump in the left pubic area.
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