INTRODUCTION Abdominal wall hernias through the arcuate line termed Spigelian hernias are uncommon. These hernias presenting as a Richter-type, with strangulation of part of the circumference of the bowel wall is very rare. PRESENTATION OF CASE We report a 27-year-old male patient who presented with a Richter-type Spigelian hernia. LITERATURE REVIEW A MEDLINE literature search of this rare ...

The traditional approach of repairing the linea alba, while operating on ventral hernias, is based on the premise that the linea alba is a strong layer and can reinforce the abdominal wall. This deeply entrenched view of most surgeons has resulted in numerous techniques which invariably include the linea alba as a part of the repair. On the contrary, this article proposes a hypothesis that the ...

Background Management of subcostal incisional hernias is particularly complicated due to their proximity the costochondral limits in addition lack aponeurosis on lateral side abdomen. We present our results posterior component separation through same previous incision as a safe and reproducible technique for these complex cases. Methods multicenter prospective cohort patients diagnosed with bil...

INTRODUCTION Double-layer dermal grafts are used for the management of complicated abdominal wall hernias in obese, high risk patients. The method has not yet been used in case of emergency in septic/dirty environment. CASE REPORT A 76-year old female patient (BMI 36.7kg/m2) was admitted with mechanical bowel obstruction and sepsis caused by a third time recurred, incarcerated and eventrated ...

According to classic definition, hernia is a “displacement of parietal peritoneum and abdominal organs though a defect in the abdominal wall (natural or resulting from congenital defects) or a defect resulting from a disease condition or injury of abdominal wall (postoperative scars)” (1) This definition assumes existence of hernial orifice, hernial sac and its contents. Has this definition sto...

Groin injuries are a common occurrence in elite-level athletes. These injuries can cause significant pain and disability, leading to prolonged periods of inactivity and consternation among athletes, coaches, athletic trainers, and physicians alike. The differential diagnosis for groin pain is vast and spans multiple disciplines, including orthopaedics, general surgery, urology, gynecology, and ...

INTRODUCTION Spigelian hernias represent only 1% to 2% of all abdominal wall hernias. The treatment, however, remains controversial but depends on institutional expertise. This case series reports the first experience with single-incision laparoscopic totally extraperitoneal (SILTEP) repair of Spigelian hernias with telescopic extraperitoneal dissection in combination with inguinal hernia repai...

Introduction Morgagni hernia is defined as the intrathoracic protrusion of abdominal viscera through a defect in the anterior diaphragm. It represents an uncommon type of diaphragmatic congenital hernia. Case presentation A 68-year-old female patient was admitted in our department due to progressive epigastric discomfort for the past four months. A preoperative diagnosis of a paraesophageal h...

Incisional hernias are a real problem in abdominal surgery and occur in up to 18% of patients undergoing surgery. Simple sutures or so-called anatomical processes lead to recurrence in up to 50% of cases. Performance of an alloplastic procedure decreases relapse rate to 10%, down from 12%. Popularized in Europe by Rives and Stoppa, the sublay mesh repair technique has proven very effective, wit...

BACKGROUND Repair of large incisional hernias remains a surgical and costly challenge. Temporary paralysis of the lateral abdominal wall muscles with topical administration of botulinum toxin A (BTA) is a new therapeutic concept, which may obviate the need for component separation technique (CST) for repair of large incisional hernias. Current literature on the administration of BTA as adjunct ...