During epigastric hernia surgery, your surgeon will use either an open or laparoscopic approach, depending on the size and location of the hernia. Both methods offer similar recovery outcomes. However, for small epigastric hernias, the open approach is often preferred due to its simplicity.

Open surgery

In open epigastric hernia surgery, the surgeon makes an incision directly over the hernia. The herniated tissue is carefully separated from surrounding structures and placed back into the abdominal cavity. Next, the defect in the abdominal wall is closed using strong sutures. In some cases, surgical mesh may be added for extra reinforcement. Finally, the incision is closed with an absorbable skin stitch.

Laparoscopic surgery

In the laparoscopic approach, the surgeon makes three small incisions in the abdomen. A camera and surgical instruments are inserted through these incisions. The hernia contents are returned to the abdominal cavity. The abdominal wall defect is then closed with sutures and often supported with surgical mesh. This approach typically results in smaller scars and a shorter recovery time.

Your surgeon will determine your suitability for epigastric hernia surgery based on several factors.

These include the size of your hernia, your symptoms, and your overall health. In addition, your ability to undergo general anaesthetic and the presence of any conditions such as previous abdominal surgery, obesity, diabetes, or smoking will be considered.

These factors may influence both your surgical risks and your recovery.

Epigastric hernia surgery is considered low-risk compared to many other abdominal procedures.

Nevertheless, it is important to understand the potential risks. Your surgeon will discuss these with you in detail before the operation.

• Bleeding: Minor bruising is common. However, significant bleeding that requires intervention (such as a transfusion or further surgery) is rare.
• Infection: To reduce the risk of wound or mesh infection, your surgical team will follow strict sterile procedures and administer antibiotics during the procedure. Infection is more likely in smokers and individuals with diabetes or obesity.
• Nerve irritation: You may experience numbness or pain if nerves near the hernia site are affected. In most cases, this settles with time. However, a small number of patients may have long-term symptoms.
• Hernia recurrence: Although rare, the hernia may return after surgery.
• Bowel complications: If bowel is involved in the hernia, there is a very small risk of bowel injury. This may require additional surgery.