Laparoscopic repair of a supravesical hernia presenting as a ‘recurrent’ inguinal hernia in a 5‐year‐old female

Supravesical hernias: a systematic review of the literature

“…Although there is still no standardized approach most authors are recently in favour of laparoscopic procedures due to the clearer vision of the operating field, especially in cases of hemodynamically stable patients with a timely diagnosis. 6,32,40,41,43 Our findings have shown that laparoscopic SH repair is significantly associated with reduced hospital stay (3.80 AE 1.48 versus 10.67 AE 6.50 days). On the other hand, in case of emergent surgery an open approach was preferred.…”

“…25 An external SH presenting as a 'recurrent' inguinal hernia was characteristically observed in a 5-year-old female patient. 40 In addition, at 26.3% of patients the SH coexisted with an inguinal hernia. These findings may reinforce the necessity to further investigate the genetic background of the aforementioned hernias.…”

“…Only one patient (2.8%), whose hernia was also classified as external, remained totally asymptomatic. 40 Due to the prevalence of SBO symptoms in internal SHs, patients more frequently underwent abdominal X-ray (58.3%) followed by CT (50%). Some authors have recommended that CT findings may greatly assist in the preoperative suspicion of internal SHs.…”

“…Furthermore, abnormal retrogression of foetal structures or congenital weakness of connective tissue may constitute predisposing factors for the development of supravesical or other concurrent hernias 25 . An external SH presenting as a ‘recurrent’ inguinal hernia was characteristically observed in a 5‐year‐old female patient 40 . In addition, at 26.3% of patients the SH coexisted with an inguinal hernia.…”

“…In our study, hernia incarceration and inguinal pain were actually present in six and seven of nine, in total, external SH cases, respectively. Only one patient (2.8%), whose hernia was also classified as external, remained totally asymptomatic 40 …”