The arcuate line hernia: operative treatment and a review of the literature

Abstract

A laparoscopic approach is recommended for diagnostic purposes, for pre-peritoneal mesh placement and for repair of concomitant hernias in both elective and emergency settings. Highlighting its existence might help general surgeons in interpreting an unusual finding on a CT scan or at operation.

Internal herniation of the abdominal wall

“…Treatment consists of reduction of the hernia with mesh placement over the defect. Laparoscopic approach is preferable because this allows inspection of hernia contents and concomitant hernias, and allows for intra‐ or preperitoneal mesh placement to cover the defect …”

“…Laparoscopic approach is preferable because this allows inspection of hernia contents and concomitant hernias, and allows for intra-or preperitoneal mesh placement to cover the defect. 2 Although rare, symptomatic arcuate line hernias should be considered in patients presenting with complaints of the lower abdomen.…”

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

“…One explanation is that more than a third of females don’t have a defined arcuate line, whereas most males do [6]. ALH rarely causes symptoms, as the hernia orifice is wide and can be easily mistaken as a Spigelian hernia on preoperative imaging that explains the number of cases only being diagnosed at laparoscopy [7]. Similarly, in our case, only the ventral hernia was clinically obvious and the bilateral ALHs were incidentally detected during laparoscopy.…”

Chronic Pain Treated Successfully with Novel Taping Therapy: A New Approach to the Treatment of Pain

“…The treatment is not clearly defined but it is accepted to treat ALH with a fascial repair and by pre-peritoneal mesh placement by laparoscopy [5], depending on the clinical situation.…”