Internal herniation of the abdominal wall

Bloemen, Arthur; Keijzers, Marlies; Konsten, J.; Aarts, Frits; Vogelaar, F. Jeroen

doi:10.1002/ccr3.2008

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…ALH can be repaired without mesh as it doesn’t leave any internal defect and there is no associated weakness of the anterior abdominal wall [3]. This said most authors still prefer mesh coverage of the defects [1, 4], and we agree with Montgomery et al .…”

Section: Discussionsupporting

confidence: 66%

“…ALHs are difficult to clinically diagnose as they don’t protrude through the abdominal wall and are therefore often incidentally demonstrated during surgery or at best, on preoperative CT-scan imaging [1]. Most of the ALHs remain asymptomatic, but may sometimes cause pain, especially if the bowel is incarcerated into the hernia sac [2, 3].…”

Section: Introductionmentioning

confidence: 99%

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Hybrid laparoscopic/open mesh repair of combined bilateral arcuate line and ventral hernias

Berney

2019

Journal of Surgical Case Reports

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Arcuate line hernia (ALH) is a rare entity with only few cases reported in the literature. ALH is difficult to diagnose clinically and is most of the time asymptomatic, and there is no real consensus on how to better surgically approach this condition. We hereby present the case of a female patient with a symptomatic partly reducible ventral hernia. At laparoscopy, bilateral ALHs were incidentally identified and simultaneously treated, using a safe hybrid technique. The postoperative outcome was uneventful and she is still symptom-free with no clinical evidence of hernia recurrence at 2-year postsurgery. ALH is an uncommon interstitial parietal hernia and its diagnosis is often incidentally made peri-operatively, thus reinforcing the benefit of laparoscopy. In a most complex situation of combined bilateral ALHs with ventral hernia, a hybrid laparoscopic/anterior approach is a safe alternative and we recommend mesh reinforcement of all defects.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Hybrid laparoscopic/open mesh repair of combined bilateral arcuate line and ventral hernias

Berney

2019

Journal of Surgical Case Reports

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“…Three cases occurred after abdominal surgery and were diagnosed as incisional hernias, but were diagnosed as ALH intraoperatively [ 4 , 15 , 16 ]. As previously mentioned, ALH is considered less likely to cause symptoms because of the wide hernia orifice; however, there have been cases of emergency surgery owing to incarceration [ 6 , 9 , 13 ]. Although ALH is a rare and little-known disease, these cases suggest that surgeons should be aware of the condition.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic repair for an arcuate line hernia: a case report

Fukunaga

Kasanami

2021

surg case rep

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Background The arcuate line is the inferior margin of the posterior layer of rectus abdominis sheath. An arcuate line hernia is a parietal interstitial hernia consisting of ascending protrusion of intraperitoneal contents above the arcuate line. Arcuate line hernias are rare, and fewer than 20 cases undergoing surgical repair have been reported. Various surgical approaches were used in previous cases, and there is no consensus regarding the ideal repair method. We report the first case of an arcuate line hernia repaired using single-incision laparoscopic surgery. Case presentation The patient was a 78-year-old man who presented with a history of intermittent lower abdominal quadrant pain of more than 2 month’s duration. He had not previously undergone abdominal surgery, but had a history of mycobacterial lung disease and asthma. His vital signs were normal on presentation, and he experienced no vomiting or nausea. On palpation, his abdomen was flat and soft, and no mass was palpable. However, there was slight tenderness in the right lower quadrant. Blood laboratory test results were within normal ranges. Computed tomography revealed small bowel protrusion between the rectus abdominis and the posterior rectus sheath, and an arcuate line hernia was suspected and subsequently confirmed intraoperatively. The patient underwent single-incision laparoscopic repair with the intraperitoneal onlay mesh technique with tacks and with care to avoid the inferior epigastric vessels. The operation time was 30 min, and no intra- or post-operative complications occurred. Surgery relieved his symptoms, with no recurrence within 1 year postoperatively. Conclusions Single-incision laparoscopic surgery was performed easily and successfully in this rare patient with arcuate line hernia. Arcuate line hernia should be considered in patients presenting with abdominal symptoms, and single-incision laparoscopic repair should be considered for repair.

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Internal herniation of the abdominal wall

Cited by 2 publications

References 2 publications

Hybrid laparoscopic/open mesh repair of combined bilateral arcuate line and ventral hernias

Hybrid laparoscopic/open mesh repair of combined bilateral arcuate line and ventral hernias

Single-incision laparoscopic repair for an arcuate line hernia: a case report

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