[Abdominal pseudohernia: diagnosis and treatment]

Area of Science:

• Abdominal wall disorders
• Neurology
• Surgical reconstruction

Background:

• Abdominal pseudohernia presents as asymmetrical protrusion without wall defect.
• Associated symptoms include impaired breathing and muscle tension in the affected area.
• Nerve damage (T8-L2) can cause pseudohernia, diagnosed via electroneuromyography.

Purpose of the Study:

• To outline an effective treatment strategy for abdominal pseudohernia.
• To analyze diagnostic and treatment approaches based on clinical experience and literature.
• To differentiate treatment based on pseudohernia etiology.

Main Methods:

• Surgical treatment of 2 patients and conservative management of 1 patient.
• Literature review of abdominal pseudohernia cases using PubMed, Google, and e-library databases.
• Diagnostic confirmation through imaging (Ultrasound, CT, MRI) and electroneuromyography.

Main Results:

• Pseudohernia without a wall defect, linked to denervation, is visualized as abdominal wall thinning.
• Postherpetic pseudohernia (due to herpes zoster neuropathy) treated with antiherpetic and physical therapy shows functional recovery in 2-4 months.
• Surgical reconstruction with imbrication sutures and mesh is effective for pseudohernia persisting over a year due to mechanical nerve damage, with no relapses observed.

Conclusions:

• This study provides a systematic analysis of abdominal pseudohernia diagnosis and treatment.
• Surgical intervention is contraindicated for postherpetic pseudohernia.
• Surgical treatment is indicated for pseudohernia caused by trauma or manipulation if it persists for over a year without re-innervation.