Increased intra abdo pressure
HM SM ADPCKD BLADDER DISTENSION ASCITES
Paraumbilical hernia
Through linea alba above umbilicus
Often IRREDUCIBLE
Always repair– incarc
True unbilical = congenital
Through umbilicus
Usually spontaneous resolution
Sx–>3yrs old
Epigastric hernia
Through linea alba in epigastric region Thin patients 80% off midline 20% multiple Usually repaired- noderate risk
Spigelian hernia
Through linea semilunaris at outer border of rictus sheath
Always repair high risk
Incisional hernia
Anywhere– esp midline
Enlarge
Sx
Rectus divarication
NOT TRUE HERNIA
weakness of linea alba to bulge into epigastrium
Sometimes aw epi or para hernias
Sx- cosmesis
Accentuate life head off bed
Rectus divarication and accentuates esp incisional