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Epigastric hernia

MedGen UID:
507789
•Concept ID:
C0019287
•
Anatomical Abnormality
Synonyms: Epigastric Hernia; Fatty hernia of linea alba
SNOMED CT: Fatty hernia of linea alba (289260002); Epigastric hernia (289260002)

Definition

Protrusion of abdominal cavity contents or pre-peritoneal fat through the abdominal wall between the umbilicus and the xiphoid process. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEpigastric hernia

Professional guidelines

PubMed

Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines.
Carlstedt A, Bringman S, Egberth M, Emanuelsson P, Olsson A, Petersson U, Pålstedt J, Sandblom G, Sjödahl R, Stark B, Strigård K, Tall J, Theodorsson E
Scand J Surg 2021 Sep;110(3):452-459. Epub 2020 Sep 28 doi: 10.1177/1457496920961000. PMID: 32988320Free PMC Article
Primary non-complicated midline ventral hernia: overview of approaches and controversies.
Bilezikian JA, Tenzel PL, Eckhauser FE, Hope WW
Hernia 2019 Oct;23(5):885-890. Epub 2019 Sep 6 doi: 10.1007/s10029-019-02037-0. PMID: 31493055
A systematic review on surgical treatment of primary epigastric hernias.
Blonk L, Civil YA, Kaufmann R, Ket JCF, van der Velde S
Hernia 2019 Oct;23(5):847-857. Epub 2019 Aug 17 doi: 10.1007/s10029-019-02017-4. PMID: 31422492Free PMC Article

Recent clinical studies

Etiology

Management of epigastric, umbilical, spigelian and small incisional hernia as a day case procedure: results of long-term follow-up after open preperitoneal flat mesh technique.
Zuvela M, Galun D, Bogdanovic A, Bidzic N, Zivanovic M, Zuvela M, Zuvela M
Hernia 2021 Aug;25(4):1095-1101. Epub 2021 Jun 24 doi: 10.1007/s10029-021-02446-0. PMID: 34165648
Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines.
Carlstedt A, Bringman S, Egberth M, Emanuelsson P, Olsson A, Petersson U, Pålstedt J, Sandblom G, Sjödahl R, Stark B, Strigård K, Tall J, Theodorsson E
Scand J Surg 2021 Sep;110(3):452-459. Epub 2020 Sep 28 doi: 10.1177/1457496920961000. PMID: 32988320Free PMC Article
Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society.
Henriksen NA, Montgomery A, Kaufmann R, Berrevoet F, East B, Fischer J, Hope W, Klassen D, Lorenz R, Renard Y, Garcia Urena MA, Simons MP; European and Americas Hernia Societies (EHS and AHS)
Br J Surg 2020 Feb;107(3):171-190. Epub 2020 Jan 9 doi: 10.1002/bjs.11489. PMID: 31916607
Ventral hernia and pregnancy: A systematic review.
Oma E, Henriksen NA, Jensen KK
Am J Surg 2019 Jan;217(1):163-168. Epub 2018 May 3 doi: 10.1016/j.amjsurg.2018.04.016. PMID: 29798763
Fat-containing soft-tissue masses in children.
Sheybani EF, Eutsler EP, Navarro OM
Pediatr Radiol 2016 Dec;46(13):1760-1773. Epub 2016 Nov 19 doi: 10.1007/s00247-016-3690-z. PMID: 27866258

Diagnosis

A critical review of anisakidosis cases occurring globally.
Shamsi S, Barton DP
Parasitol Res 2023 Aug;122(8):1733-1745. Epub 2023 May 26 doi: 10.1007/s00436-023-07881-9. PMID: 37233816Free PMC Article
Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines.
Carlstedt A, Bringman S, Egberth M, Emanuelsson P, Olsson A, Petersson U, Pålstedt J, Sandblom G, Sjödahl R, Stark B, Strigård K, Tall J, Theodorsson E
Scand J Surg 2021 Sep;110(3):452-459. Epub 2020 Sep 28 doi: 10.1177/1457496920961000. PMID: 32988320Free PMC Article
Fat-containing soft-tissue masses in children.
Sheybani EF, Eutsler EP, Navarro OM
Pediatr Radiol 2016 Dec;46(13):1760-1773. Epub 2016 Nov 19 doi: 10.1007/s00247-016-3690-z. PMID: 27866258
Pediatric abdominal wall defects.
Kelly KB, Ponsky TA
Surg Clin North Am 2013 Oct;93(5):1255-67. Epub 2013 Jul 26 doi: 10.1016/j.suc.2013.06.016. PMID: 24035087
Repair of umbilical and epigastric hernias.
Earle DB, McLellan JA
Surg Clin North Am 2013 Oct;93(5):1057-89. doi: 10.1016/j.suc.2013.06.017. PMID: 24035076

Therapy

The evidence mismatch in pediatric surgical practice.
Broomfield M, Agabani Z, Guadagno E, Poenaru D, Baird R
Pediatr Surg Int 2023 Nov 18;39(1):295. doi: 10.1007/s00383-023-05569-w. PMID: 37978994
Open versus laparoscopic umbilical and epigastric hernia repair: nationwide data on short- and long-term outcomes.
Henriksen NA, Jorgensen LN, Friis-Andersen H, Helgstrand F; Danish Hernia Database
Surg Endosc 2022 Jan;36(1):526-532. Epub 2021 Feb 2 doi: 10.1007/s00464-021-08312-5. PMID: 33528663
Management of epigastric, umbilical, spigelian and small incisional hernia as a day case procedure: results of long-term follow-up after open preperitoneal flat mesh technique.
Zuvela M, Galun D, Bogdanovic A, Bidzic N, Zivanovic M, Zuvela M, Zuvela M
Hernia 2021 Aug;25(4):1095-1101. Epub 2021 Jun 24 doi: 10.1007/s10029-021-02446-0. PMID: 34165648
MILOS and EMILOS repair of primary umbilical and epigastric hernias.
Reinpold W, Schröder M, Berger C, Stoltenberg W, Köckerling F
Hernia 2019 Oct;23(5):935-944. Epub 2019 Sep 30 doi: 10.1007/s10029-019-02056-x. PMID: 31571064
Ventral hernia and pregnancy: A systematic review.
Oma E, Henriksen NA, Jensen KK
Am J Surg 2019 Jan;217(1):163-168. Epub 2018 May 3 doi: 10.1016/j.amjsurg.2018.04.016. PMID: 29798763

Prognosis

Epigastric Hernias in Children: A Personal Series and Systematic Review of the Literature.
Tinawi GK, Stringer MD
Eur J Pediatr Surg 2022 Apr;32(2):139-145. Epub 2020 Nov 10 doi: 10.1055/s-0040-1719056. PMID: 33171519
Management of epigastric, umbilical, spigelian and small incisional hernia as a day case procedure: results of long-term follow-up after open preperitoneal flat mesh technique.
Zuvela M, Galun D, Bogdanovic A, Bidzic N, Zivanovic M, Zuvela M, Zuvela M
Hernia 2021 Aug;25(4):1095-1101. Epub 2021 Jun 24 doi: 10.1007/s10029-021-02446-0. PMID: 34165648
Surgeon Volume and Risk of Reoperation after Laparoscopic Primary Ventral Hernia Repair: A Nationwide Register-Based Study.
Christophersen C, Fonnes S, Baker JJ, Andresen K, Rosenberg J
J Am Coll Surg 2021 Sep;233(3):346-356.e4. Epub 2021 Jun 7 doi: 10.1016/j.jamcollsurg.2021.05.023. PMID: 34111532
Subcutaneous Videosurgery for Abdominal Wall Defects: A Prospective Observational Study.
Barchi LC, Franciss MY, Zilberstein B
J Laparoendosc Adv Surg Tech A 2019 Apr;29(4):523-530. Epub 2018 Dec 31 doi: 10.1089/lap.2018.0697. PMID: 30596545
Pathogenesis of the epigastric hernia.
Ponten JE, Somers KY, Nienhuijs SW
Hernia 2012 Dec;16(6):627-33. Epub 2012 Jul 24 doi: 10.1007/s10029-012-0964-8. PMID: 22824990

Clinical prediction guides

Gender differences in epigastric hernia repair: a propensity score matching analysis of 15,925 patients from the Herniamed registry.
Hoffmann H, Mechera R, Nowakowski D, Adolf D, Kirchhoff P, Riediger H, Köckerling F
Hernia 2023 Aug;27(4):829-838. Epub 2023 May 9 doi: 10.1007/s10029-023-02799-8. PMID: 37160505
Laparoscopic repair for primary epigastric hernia containing falciform ligament: A case report and review of literature.
Takada S, Ueno Y, Higashi Y, Nishijima K, Futagami F
Asian J Endosc Surg 2022 Jan;15(1):188-191. Epub 2021 Jun 18 doi: 10.1111/ases.12963. PMID: 34142766
Subxiphoid top-down endoscopic totally preperitoneal approach (eTPA) for midline ventral hernia repair.
Li B, Qin C, Liu D, Miao J, Yu J, Bittner R
Langenbecks Arch Surg 2021 Sep;406(6):2125-2132. Epub 2021 Jul 23 doi: 10.1007/s00423-021-02259-w. PMID: 34297175
Management of epigastric, umbilical, spigelian and small incisional hernia as a day case procedure: results of long-term follow-up after open preperitoneal flat mesh technique.
Zuvela M, Galun D, Bogdanovic A, Bidzic N, Zivanovic M, Zuvela M, Zuvela M
Hernia 2021 Aug;25(4):1095-1101. Epub 2021 Jun 24 doi: 10.1007/s10029-021-02446-0. PMID: 34165648
Subcutaneous Videosurgery for Abdominal Wall Defects: A Prospective Observational Study.
Barchi LC, Franciss MY, Zilberstein B
J Laparoendosc Adv Surg Tech A 2019 Apr;29(4):523-530. Epub 2018 Dec 31 doi: 10.1089/lap.2018.0697. PMID: 30596545

Recent systematic reviews

Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis.
Martins MR, Santos-Sousa H, do Vale MA, Bouça-Machado R, Barbosa E, Sousa-Pinto B
Langenbecks Arch Surg 2024 Feb 3;409(1):52. doi: 10.1007/s00423-024-03241-y. PMID: 38307999Free PMC Article
Epigastric Hernias in Children: A Personal Series and Systematic Review of the Literature.
Tinawi GK, Stringer MD
Eur J Pediatr Surg 2022 Apr;32(2):139-145. Epub 2020 Nov 10 doi: 10.1055/s-0040-1719056. PMID: 33171519
A systematic review on surgical treatment of primary epigastric hernias.
Blonk L, Civil YA, Kaufmann R, Ket JCF, van der Velde S
Hernia 2019 Oct;23(5):847-857. Epub 2019 Aug 17 doi: 10.1007/s10029-019-02017-4. PMID: 31422492Free PMC Article
Ventral hernia and pregnancy: A systematic review.
Oma E, Henriksen NA, Jensen KK
Am J Surg 2019 Jan;217(1):163-168. Epub 2018 May 3 doi: 10.1016/j.amjsurg.2018.04.016. PMID: 29798763

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