Pediatric Hernias

Rodgers, Bryan; McGahren, Eugene D.; Burns, R. Cartland

doi:10.1007/978-1-4419-8574-3_89

Cited by 2 publications

(3 citation statements)

References 92 publications

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“…Recent studies support the possible role of laparoscopy in the diagnosis and treatment of Spigelian hernia in children, suggesting that it may represent an acceptable therapeutic alternative [4,5]. …”

Section: Discussionmentioning

confidence: 99%

“…In adults, almost 90% of acquired hernias occur within the anterior superior iliac spine and the umbilicus, while the majority of congenital hernias occur at the level of the arcuate line (fold of Douglas) [ 1 - 3 ]. Hernias that are protruding through the Spigelian fascia within Hesselbach's triangle, caudally and medially to the inferior epigastric vessels, are called low or lower Spigelian hernias [ 4 ]. Direct inguinal hernias can also occur in this area, although in most of these cases, the hernia's orifice is difficult to identify.…”

Section: Discussionmentioning

confidence: 99%

“…Reduction of the content with excision of the sac and closure of the fascia defect with non-absorbable sutures is the most common and widely accepted surgical approach, presenting the lowest recurrence rates [ 1 , 3 , 7 ]. Recent studies support the possible role of laparoscopy in the diagnosis and treatment of Spigelian hernia in children, suggesting that it may represent an acceptable therapeutic alternative [ 4 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Low Spigelian hernia in a 6-year-old boy presenting as an incarcerated inguinal hernia: a case report

et al. 2009

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IntroductionLower Spigelian hernia is a very rare entity. The clinical findings are similar to those of inguinal hernias and in many cases may be misdiagnosed. In the literature, only a few references to this entity have been reported in children. To the best of our knowledge, this is the first case report of a lower Spigelian hernia in a child who presented with an acute painful scrotum.Case presentationWe discuss the case of a 6-year-old Greek boy who presented to our emergency department complaining of severe pain in the left inguinal area and scrotum. The acute painful swelling started suddenly, without any obvious cause. The initial diagnosis was incarcerated inguinal hernia which was reduced with difficulty. Five days later, the patient still experienced mild pain during palpation and he was operated on. During the operation, a large lower Spigelian hernia was revealed and reconstructed.ConclusionAlthough Spigelian hernias are rare in children and difficult to diagnose, physicians should be aware of them and include them in the differential diagnosis.

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Section: Discussionmentioning

confidence: 99%