Traitement chirurgical des hernies rares

Abstract

Uncommon intra abdominal hernias in adult represent the herniation of some length of bowel through an intra abdominal congenital orifice or an acquired peritoneal orifice. A wide range of clinical and anatomical features have been described despite their infrequency. Three types of hernias are usually observed, depending on the anatomy: herniation through a normal orifice including the Winslow's foramen; herniation through a pathologic orifice, such as transomental hernias, transmesenteric hernias, transmesocolic hernias and hernias trough the broad ligament; retroperitoneal hernias, mainly right or left paraduodenal, paracaecal or supravesical hernias. Epidemiology, pathology, clinical presentation, diagnosis and complications are shortly described for each type, along with surgical techniques.