Pre- and postsurgical imaging findings of abdominal wall hernias based on the European Hernia Society (EHS) classification

Sigitas TamulisVilniaus universiteto Gastroenterologijos, nefrourologijos ir chirurgijos klinika, Bendrosios chirurgijos centras, Vilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Šiuo metu Lietuvos chirurginėje praktikoje vartojama daug įvairių pilvo sienos išvaržų klasifikacijų, tačiau nėra vienos paprastos, unifikuotos, informatyvios, išsamios ir kartu lengvai atsimenamos išvaržų klasifikacijos. Tai sunkina gydymo rezultatų vertinimą, naujų gydymo būdų diegimą ir integraciją į Europos ir pasaulio pilvo sienos išvaržų diagnostiką, gydymą ir klinikinius tyrimus. Šio darbo tikslas – apžvelgti iki šiol naudotas klasifikacijas ir pateikti EHS klasifikaciją. Reikšminiai žodžiai: pilvo siena, išvarža, pirminė pilvo sienos išvarža, pooperacinė pilvo sienos išvarža, bambos išvarža, kirkšninė išvarža, epigastrinė išvarža, baltosios pilvo linijos išvarža, juosmeninė išvarža, Špigelio išvarža, pilvo sienos išvaržų klasifikacija. The european hernia society (ehs) abdominal hernia classification Sigitas TamulisVilnius Universitety, Clinic of Gastroenterology, Nephrourology and Surgery, Vilniaus University Emergency Hospital,Šiltnamių str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] A number of abdominal wall hernia classifications are used in surgical practice in Lithuania. However, there is a lack of one simple, practical, informative, well memorizable, unified and integrated classification intended for all the surgical society. The purpose of this article was to review the abdominal wall hernia classifications commonly used in Lithuania and to present the new abdominal hernia classification proposed by the European Hernia Society. Key words: abdominal wall hernia, inguinal hernia, classification, incisional hernia, ventral hernia, umbilical hernia, epigastric hernia.

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Lumps and Bumps of the Abdominal Wall and Lumbar Region—Part 2: Beyond Hernias

Journal of Gastrointestinal and Abdominal Radiology ◽

10.1055/s-0038-1676256 ◽

2018 ◽

Vol 01 (01) ◽

pp. 019-032

Author(s):

Sangoh Lee ◽

Catalin V. Ivan ◽

Sarah R. Hudson ◽

Tahir Hussain ◽

Suchi Gaba ◽

...

Keyword(s):

Abdominal Wall ◽

Differential Diagnoses ◽

Lumbar Region ◽

Imaging Findings ◽

Abdominal Masses ◽

Wall Lesions

AbstractAbdominal masses can often clinically mimic hernias, especially when they are located close to hernial orifices. Imaging findings can be challenging and nonspecific with numerous differential diagnoses. We present a variety of pathology involving the abdominal wall and lumbar region, which were referred as possible hernias. This demonstrates the wide-ranging pathology that can present as abdominal wall lesions or mimics of hernias that the radiologist should be alert to.

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A Large Single-Center ‘Experience of Open Lateral Abdominal Wall Hernia Repairs

The American Surgeon ◽

10.1177/000313481608200726 ◽

2016 ◽

Vol 82 (7) ◽

pp. 608-612 ◽

Cited By ~ 6

Author(s):

Puraj P. Patel ◽

Jeremy A. Warren ◽

Roozbeh Mansour ◽

William S. Cobb ◽

Alfredo M. Carbonell

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Hernia ◽

Lateral Wall ◽

Synthetic Mesh ◽

Mesh Placement ◽

Lateral Abdominal Wall ◽

Single Center Experience ◽

European Hernia Society ◽

Open Mesh Repair ◽

Mesh Reconstruction

Lateral abdominal wall hernias may occur after a variety of procedures, including anterior spine exposure, urologic procedures, ostomy closures, or after trauma. Anatomically, these hernias are challenging and require a complete understanding of abdominal wall, interparietal and retroperitoneal, anatomy for successful repair. Mesh placement requires extensive dissection of often unfamiliar planes, and its fixation is difficult. We report our experience with open mesh repair of lateral abdominal wall hernias. A retrospective review of a prospectively maintained database was performed to identify patients with a classification of lateral abdominal wall hernia who underwent an open repair. A total of 61 patients underwent open lateral hernia repairs. Mean patient age was 58 years (range 25–78), with a mean body mass index of 32 kg/m2 (range 19.0–59.1). According to the European Hernia Society classification, defects were located subcostal (L1, 14 patients), flank (L2, 33 patients), iliac (L3, 11 patients), and lumber (L4, 3 patients). Mean defect size was 78.6 cm2, with a mean greatest single dimension of 9.2 cm (range 2–25 cm). Retromuscular or interparietal repair was performed in 50.8 per cent, preperitoneal in 41.0 per cent, intraperitoneal in 6.6 per cent, and onlay in 1.6 per cent. The rate of surgical site occurrence was 49.2 per cent, primarily seroma and surgical site infection rate was 13.1 per cent. With a mean follow-up of 15.4 months, seven patients (11.5%) have documented recurrence. Synthetic mesh reconstruction of lateral wall hernias is challenging. Our experience demonstrates the safety and success of repair using synthetic mesh primarily in the retromuscular, interparietal, or preperitoneal planes.

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The OEIS complex – clinical & radiological evaluation

Archive of Urological Research ◽

10.17352/aur.000036 ◽

2021 ◽

pp. 035-037

Author(s):

Dutta HK ◽

Dhingani Dhaval D ◽

Gogoi RK ◽

Boruah Deb K

Keyword(s):

Spinal Cord ◽

Abdominal Wall ◽

Genetic Factors ◽

Radiological Evaluation ◽

Imaging Findings ◽

Early Gestation ◽

Etiologic Heterogeneity

The OEIS complex comprises a constellation of complex and severe malformations of the abdominal wall, gastrointestinal and genitourinary tracts, and spinal cord. The malformation results from improper closure of the ventral abdominal wall due to failure of convergence of cephalo-caudal and lateral folding of the embryo during early gestation. The rarity of the condition suggests etiologic heterogeneity and the possible role of environmental and genetic factors. We present clinical and imaging findings of the OEIS complex in a neonate.

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European Hernia Society guidelines on the closure of abdominal wall incisions

Hernia ◽

10.1007/s10029-014-1342-5 ◽

2015 ◽

Vol 19 (1) ◽

pp. 1-24 ◽

Cited By ~ 213

Author(s):

F. E. Muysoms ◽

S. A. Antoniou ◽

K. Bury ◽

G. Campanelli ◽

J. Conze ◽

...

Keyword(s):

Abdominal Wall ◽

European Hernia Society

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Abdominal Pseudocyst

University of Western Ontario Medical Journal ◽

10.5206/uwomj.v87i2.1119 ◽

2019 ◽

Vol 87 (2) ◽

pp. 30-32

Author(s):

Hina Hina Jhawer ◽

Jordan Ho ◽

John Morrison

Keyword(s):

Epithelial Cells ◽

Incisional Hernia ◽

Abdominal Wall ◽

Anterior Abdominal Wall ◽

Late Complication ◽

Surgical Excision ◽

Current Treatment ◽

Imaging Findings ◽

Abdominal Pseudocyst ◽

Giant Pseudocyst

We report clinical details and imaging findings of a case of a giant pseudocyst occurring in the anterior abdominal wall of a 61-year-old female. This was a late complication following the repair of an incisional hernia with mesh. Surgical excision revealed a well-encapsulated pseudocyst with histopathology confirming absence of epithelial cells. We further discuss current treatment methods for incisional hernias, as well as prevalence, etiology, and management of pseudocysts complicating hernioplasty.

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