GI Radiology > Hernia > External > Ventral

Ventral Hernia

Ventral hernias occur through a defect in the anterior or lateral abdominal wall. The majority of these hernias are the result of a defect created during previous surgery and usually occur within the first year post-operatively. Umbilical hernias and incisional hernias, as described, are ventral hernias located adjacent to the umbilicus and through a previous incision, respectively.

Epigastric hernias occur between the xiphoid process and umbilicus through the fibers of the linea alba. These hernias generally occur in obese patients or patients with increased abdominal pressure. They present clinically as abdominal distension and epigastric pain with exertion, exacerbated by bending or standing and relieved by reclining. Incarceration is common, but strangulation is unusual.


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