Linea arcuate hernia disguised as Pfannenstiel incision's hernia: a case report and a systemic literature review

Vincelli, Veronica; Marazzi, Cesare; Posabella, Alberto; Steiger, Aurore

doi:10.1093/jscr/rjw230

Cited by 4 publications

(1 citation statement)

References 3 publications

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“…Unexpectedly, the ratio of men to women was 8:11; slightly more women than men. 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 ].…”

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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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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Laparoscopic treatment of fourteen cases of pelvic ring disruption: a case series

Vinet,

Moullac,

David

et al. 2024

International Orthopaedics (SICOT)

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Linea Arcuate Hernia Following Transversus Abdominis Release Incisional Hernia Repair

McCulloch¹,

Mullens²,

Hardy³

et al. 2019

Ann Plast Surg

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Open abdominal surgery continues to be most commonly complicated by postoperative herniation at the incision line. In 2012, Novitsky et al described a novel hernia repair technique that utilized a transversus abdominis release coupled with a posterior (retrorectus) component separation (TAR-PCS) of the ventral abdominal wall. Early reports attest to the versatility and low recurrence rate of this technique, particularly when repairing large and complex defects. We present a rare case of herniation below the linea arcuate (LAH) following repair via TAR-PCS. Given its novelty compared with more widely utilized techniques, literature review revealed less discussion regarding potential pitfalls associated with this type of reconstruction, in particular the potential for LAH. To date, only 9 cases of symptomatic LAH have been described, although 2 previously described “suprapubic” herniations following TAR-PCS may represent previously mischaracterized cases of this type of complication. Nonetheless, none of these reports were in the setting of ventral hernia repair.

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Linea arcuate hernia disguised as Pfannenstiel incision's hernia: a case report and a systemic literature review

Cited by 4 publications

References 3 publications

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

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

Laparoscopic treatment of fourteen cases of pelvic ring disruption: a case series

Linea Arcuate Hernia Following Transversus Abdominis Release Incisional Hernia Repair

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