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Spigelian hernia in children: low versus classical
Mamta Sengar1, Anup Mohta1, Sujoy Neogi2
1Department of Pediatric Surgery, Chacha Nehru BalChikitsalaya, Geeta Colony, Delhi 110031, India.
Journal of Pediatric Surgery
|July 19, 2018
Summary
Pediatric spigelian hernias are rare and often misdiagnosed. Anatomical variations exist, particularly in cases with undescended testes (UDT), influencing surgical approaches for correct testicular placement.
Area of Science:
- Pediatric Surgery
- Anatomical Studies
Background:
- Spigelian hernias (SH) in children are exceptionally rare.
- These hernias are frequently overlooked or misdiagnosed due to their subtle presentation.
Purpose of the Study:
- To analyze the anatomical variations of pediatric spigelian hernias.
- To compare SH anatomy in patients with and without cryptorchidism (undescended testes).
Main Methods:
- Prospective observational study over seven years.
- Case series analysis of nine pediatric patients presenting with spigelian hernias.
- Detailed anatomical description and comparison based on associated conditions.
Main Results:
- Nine cases of pediatric spigelian hernia were identified (Male:Female ratio 3:1).
- Right-sided hernias were more common.
- Three patients had associated cryptorchidism, all presenting with low spigelian hernias; one had a lumbar hernia.
Conclusions:
- Significant anatomical variations in spigelian hernias are associated with cryptorchidism.
- Understanding these anatomical differences is crucial for successful surgical management, including accurate testicular positioning.
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