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Surgery General c60647be

Which of the following is true about epigastric hernia

A
Always above the umbilicus and in midline
B
May be above or below the umbilicus but always in midline
C
Always above the umbilicus on either side of midline
D
Can be seen anywhere on abdomen
High-Yield Explanation
Ans. c. Always above the umbilicus on either side of midline Epigastric hernias are located always above the umbilicus on either side of midline. Epigastric Hernia: Located between the xiphoid process and umbilicus Multiple in up to 20% of patients, and about 80% are just offs the midline. Usually within 5 to 6 cm of the umbilicus Epigastric hernia (Fatty hernia of the linea alba, Epigastric Lipoma) About 3% to 5% of the population has epigastric hernias. More common in mene.Q Locatebetween the xiphoid process and umbilicuseQ Multiple in up to 20% of patients, and about 80% are just offdeg the midline. Usually within 5 to 6 cm of the umbilicus Defects are small and often produce pain out of propoion to their size owing to incarceration of preperitonealfate. Clinica features Majority of these hernias are asymptomatic Sometimes, such a hernia gives rise to attacks of local pain. This may be because the fatty contents become nipped sufficiently to produce paial strangulationdeg. Referred pain: It is not uncommon to find that the patient, who may not have noticed the hernia, complains of pain suggestive of a peptic ulcerQ. Treatment Repair usually consists of excision of the incarcerated preperitoneal tissue and simple closure of the fascia! defecte.

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