Marty, age 52, notices a bulge that is likely a ventral hernia. What type is it?

A ventral hernia specifically refers to a hernia that occurs in the abdominal wall and can present as a bulge in the midline or off to the sides. The most common type of ventral hernia is an epigastric hernia, which is found in the upper abdomen, typically between the belly button and the sternum. This is likely the type Marty is experiencing, particularly given the age and description of a bulge.

Epigastric hernias occur as a result of weak points in the abdominal wall where fat or tissue can protrude. They may be small and sometimes contain only a bit of fat or can be larger with more significant tissue involved. In contrast, inguinal hernias typically present in the groin area, umbilical hernias occur near the belly button, and incisional hernias develop at the site of a previous surgical incision. Hence, these other types are less applicable to the scenario presented.