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December 1956

Epigastric Hernia: Results Obtained by Surgery

Author Affiliations

From the Surgical Service, Veterans Administration Medical Teaching Group Hospital.

AMA Arch Surg. 1956;73(6):972-976. doi:10.1001/archsurg.1956.01280060072016

Epigastric hernia, small and insignificant as it may appear to some of the professional public, nevertheless is a condition for which surgical therapy is employed. The indications for operation, technical aspects, complications, and results are dwarfed by these same considerations in what may be relatively larger problems in the more popular inguinal, femoral, umbilical, and incisional herniations.

A conscientious attempt to perfect the handling of these hernias is met with a lack of written reports concerning particularly the need for the operation and the results, in terms of whether or not the operation is worth while and what can be done to improve the results, if indeed improvement is necessary. The problems for consideration are as follows: (1) When is operation indicated? (2) What type of operative procedure will yield the best results? (3) What is the postoperative morbidity and rate of recurrence?

I. Indications  Epigastric hernia is located anywhere in