OBJECTIVE The purposes of this study were (1) to review the sonographic in vitro and in vivo appearances of mesh for surgical repair of abdominal wall hernias, (2) to describe sonographic techniques and discuss the limitations of sonography in evaluation of mesh hernia repair, and (3) to illustrate common complications after mesh repair shown with sonography. METHODS We identified interesting...

Spigelian hernias occur in the lower abdomen where the posterior sheath is deficient. It protrudes through a slit like defect in the anterior abdominal wall adjacent to the semilunar line. The hernia ring is formed as a well-defined defect in the transversus abdominis. Extraperitoneal fatty tissue surrounds the hernial sac and it passes through the transversus and the internal oblique aponeuros...

Obturator hernias are a rare form of abdominal wall hernias. We present a case of a patient with an obturator hernia diagnosed by the classical signs of lower abdominal pain, a positive Howship-Romberg sign (painful internal rotation of the hip) and a computed tomography scan showing a herniated loop of small bowel. During the emergency laparoscopic hernia repair (transabdominal preperitoneal a...

Managing a giant inguinal hernia/ incisional/ ventral hernia had its own complications. The overtime adaptation of peritoneal cavity to lower abdominal pressure was one the most important factors responsible for these Surgical repair is also quite challenge because massive contents in sac, adhesions and concomitant fibrosis. In order reduce complications like intra-abdominal hypertension, cardi...

A cute abdominal wall herniations following blunt abdominal trauma are rare despite the high prevalence of blunt trauma. In multitrauma patients, diagnosing a traumatic hernia can be challenging. We report the case of a 67-year-old woman who sustained a medial detachment of the diaphragm from the anterior portion of the abdominal wall with presternal space herniation (of her stomach and transve...

Only a small percentage of patients with inguinal or abdominal wall hernias present with acute abdominal pain. Typically, a physical bulge is present that may or may not be uncomfortable at the time of examination. The diagnosis of hernia is usually easy, and operative management strategies are well defined. However, it would be misleading to say that discomfort rarely accompanies hernia. As a ...

Sliding hernias are those in which part of the sac wall is formed by a retroperitoneal organ and/or its mesentery protruding outside the abdominal wall cavity. The hernia sac may contain jejunum, ileum, vermiform appendix, Meckel's diverticulum, stomach, ovary, fallopian tube or urinary bladder. Our report features an adult case with cryptorchidism in which testis and spermatic cord constitute ...

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 ...

A 12-hour-old male infant presented with prolapsed abdominal content through a defect on left side of chest wall with respiratory distress. A thorough clinical examination suggested absence of ectopia cordis, abdominal wall defect, and any bony anomaly. The child expired after 6 hours of admission because of respiratory distress and electrolyte imbalance. Is congenital defect of chest wall asso...

Spigelian hernia was named after the Belgian anatomist Adriaan van den Spieghel who first described the semilunar line in 1645. Spigelian hernia remains an exceedingly rare abdominal wall defect amongst all the abdominal wall hernias. It has a reported incidence of 0.2 to 2% in the literature. Clinical diagnosis of Spigelian hernia remains a challenge to all clinicians due to its vague and non-...