Traitement chirurgical des hernies rares

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.