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Lorenz R, Vollmer U, Conze J, Loch F, Paul-Promchan K, Mantke R, Paasch C, Wiessner R. Is there a link between Spigelian and inguinal hernias? A case series. Hernia 2024:10.1007/s10029-024-03061-5. [PMID: 38935190 DOI: 10.1007/s10029-024-03061-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Accepted: 04/24/2024] [Indexed: 06/28/2024]
Abstract
INTRODUCTION Spigelian hernias are among the rare primary ventral hernias. Diagnosis is often difficult, as many cases are asymptomatic. Spigelian and inguinal hernias are usually considered separately in current scientific literature. With this case series, we want to illustrate a possible relationship between the neighboring hernia types. METHODS In this article, we report on a case series of Spigelian hernias that were operated on in five hernia centers in the period from January 1st, 2021 to October 31st, 2023. We have summarized all patient characteristics with previous operations and the result of the secondary operation. RESULTS We report a case series with 24 Spigelian hernias, 15 of which have a connection to previous inguinal hernias. In these cases, however, it is not certain whether these are primarily overlooked or occult hernias or whether these Spigelian hernias have arisen secondarily, as a result of previous hernia surgery. With this case series, we would like to point out a possible connection between Spigelian hernia and inguinal hernia. Further studies are needed to shed more light on this entity and explain its genesis.
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Affiliation(s)
- R Lorenz
- Hernia Center, 3+CHIRURGEN, Klosterstrasse 34/35, 13581, Berlin, Germany.
- Department of General and Abdominal Surgery, Clinic for General and Abdominal Surgery, Medical University Brandenburg an Der Havel, Fehrbelliner Strasse 38, 3+CHIRURGEN, Klosterstrasse 34/35, 13581, Berlin, Germany.
- Havelklinik Berlin, 3+CHIRURGEN, Klosterstrasse 34/35, 13581, Berlin, Germany.
| | - U Vollmer
- Park-Klinik Weißensee, Department of General Surgery, Schönstrasse 80, 13086, Berlin, Germany
| | - J Conze
- UM Hernienzentrum Dr. Conze, Arabellastraße 17, 81925, Munich, Germany
| | - F Loch
- Department of Surgery, Charité-Universitätsmedizin Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Hindenburgdamm 30, 12203, Berlin, Germany
| | - K Paul-Promchan
- Department of General Surgery, Hospital Bethel Berlin, Promenadenstrasse 3-5, 12207, Berlin, Germany
| | - R Mantke
- Department of General and Abdominal Surgery, Clinic for General and Abdominal Surgery, Medical University Brandenburg an Der Havel, Fehrbelliner Strasse 38, 3+CHIRURGEN, Klosterstrasse 34/35, 13581, Berlin, Germany
- Faculty of Medicine, Brandenburg Medical School Thedor Fontane, Brandenburg, Germany
- Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg an Der Havel, Germany
| | - C Paasch
- Department of General and Abdominal Surgery, Clinic for General and Abdominal Surgery, Medical University Brandenburg an Der Havel, Fehrbelliner Strasse 38, 3+CHIRURGEN, Klosterstrasse 34/35, 13581, Berlin, Germany
| | - R Wiessner
- Bodden-Klinik Ribnitz-Damgarten, Sandhufe 2, 18311, Ribnitz-Damgarten, Germany
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Wu WT, Chang KV, Lin CP, Yeh CC, Özçakar L. Ultrasound imaging for inguinal hernia: a pictorial review. Ultrasonography 2022; 41:610-623. [PMID: 35569836 PMCID: PMC9262670 DOI: 10.14366/usg.21192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 02/24/2022] [Indexed: 11/03/2022] Open
Abstract
Inguinal hernia is the most prevalent type of abdominal wall hernia. Indirect inguinal hernia is twice as common as direct inguinal hernia. Computed tomography and magnetic resonance imaging can be used to evaluate inguinal hernia, but these modalities are greatly limited by their cost and availability. Ultrasonography has emerged as the most convenient imaging tool for diagnosing inguinal hernia due to its advantages, such as portability and absence of radiation. The present pictorial review presents an overview on the use of ultrasonography in the evaluation of inguinal hernia with a particular emphasis on the regional anatomy, relevant scanning tips, identification of subtypes, postoperative follow-up, and diagnosis of pathologies mimicking inguinal hernia.
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Affiliation(s)
- Wei-Ting Wu
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan.,Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Ke-Vin Chang
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan.,Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine, Taipei, Taiwan.,Center for Regional Anesthesia and Pain Medicine, Wang-Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Chih-Peng Lin
- Department of Anesthesiology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Chi-Chuan Yeh
- Department of Medical Education, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.,Department of Surgery, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Levent Özçakar
- Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey
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