Epigastric hernia

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.  

These hernias do not resolve and must be repaired*. It is recommended to wait until 3 years old to proceed with the repair.

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)*.

SCIENTIFIC EVIDENCE
* GW Holcomb, J Patrick Murphy, DJ Ostlie. Aschcraft´s Pediatric Surgery 6º Ed.