An epigastric hernia is a swelling that is usually exactly in the midline of the abdomen and found anywhere between the umbilicus and the xiphisternum. It is due to a small defect in the linea alba which is the fascial band which connects the xiphisternum to the umbilicus. These are rarely present at birth. They are usually asymptomatic but in a small number of cases the small amount of fat which protrudes through the hernia may have its blood supply pinched off and therefore can be locally tender. Operation is recommended if the hernia is either enlarging, is symptomatic, or on cosmetic grounds.
We recommend no baths or showers for 2 days after the operation and then return to normal baths and showers. There is a clear, waterproof dressing over the abdominal incision. This will fall off of its own accord and does not need to be replaced. The stitches are dissolving stiches. They are under the skin and do not need to be removed. Return to all normal activities e.g swimming and sports after 10 days.