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What are the alarming symptoms?

• Increasing in size

• Worsening pain

• If the hernia turns hard and associated with nausea or vomiting, could indicate obstructed hernia


What is a strangulated hernia?

Strangulated hernia is a surgical emergency, if neglected can lead to very serious complications. Strangulation occurs when blood supply to hernia contents, usually bowel, is impaired leading to ischemia (death of the bowel) or gangrene of the bowel.


What is the treatment of epigastric hernia?

Generally, symptomatic epigastric herniae are repaired by surgery. Conservative approach can be used in unfit patients.


When is the surgery required?

When hernia becomes painful, increase in size or causes any other symptoms.


What are the different types of surgery available?

Epigastric hernia is usually repaired by open approach. In few cases surgeon may decide to repair it by laparoscopi (key-hole) approach. Both the approaches have advantages and disadvantages. You will be able to discuss with your surgeon at the time of consultation.


What happens during surgery?

Epigastric hernia repair is usually carried out under general anaesthesia. Incisions made will vary according to the type of surgery. Aim of the operation will be to identify the hernia defect and push it back in to the abdomen then a mesh or suture repair will be carried out to reinforce the abdominal wall. The wound is usually closed with absorbable sutures.


What is the after care?

You will be encouraged to be mobile as much as possible. We advise our patients to refrain from lifting heavy weights for four weeks and avoid driving till they are able to put an emergency stop. Our patients will be able to go home on the same day depending on the timing of the surgery.


Do I need to take time off from work following surgery?

It depends on the type of work involved, however generally you will need two weeks off from work.


What are the risks from surgery?

Minor side effects and complications common but serious side effects are very rare. There are risks of wound infection, bruising, bleeding from the wound rarely chronic pain and recurrence of hernia (2%)





Epigastric Hernia

An epigastric hernia is a small type of hernia and as a result of this, only the abdominal wall lining – known as the ‘peritoneum’, protrudes through this wall. But in some cases, it can be large enough to the extent that a part of an internal organ, e.g. the intestine, will push through the abdominal wall. Surgical repair may be required when hernia starts to cause symptoms.


Surgical repair is usually carried out as a day procedure under general anaesthesia. Your surgeon will decide whether to repair the hernia with few simple sutures or a mesh.








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Some answers to questions we are often asked…

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To find out more about Nu-life Surgery please either:


• Call us on 0845 257 5433


• Send an email to info@nu-life-surgery.com


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