Hernias of the abdominal wall across the midline alba, called epigastric hernias, present as small tumors, usually with incarcerated peritoneal fat, between the umbilicus and the diploid appendix.
Generally, a small midline incision is used over the hernia, and the defect is repaired with sutures after the reduction or removal of the contents (preperitoneal fat)*.
Epigastric herniorrhaphy
Operative Pediatric Surgery 7º Ed - Lewis Spitz, Arnold G Coran - ISBN: 978-1-4441-6501-2