Abstract
BackgroundInguinal hernia repair is the most common surgical procedure in babies. Despite a meticulous technique, relapses may occur. The occurrence of a direct bladder wall hernia in relapses has never before been reported in the literature.Case presentationHere, we report two cases of direct bladder herniation: a white baby boy born after 25 weeks of gestation and a white baby boy born after 26 weeks of gestation. Both of the formerly extremely low birth weight babies were affected after open bilateral hernia repair. Recurrent hernias developed on the right side, and direct bladder herniation was identified intraoperatively. In one case, laparoscopy was applied to identify a supravesical type of hernia. Immaturity and a difficult postnatal course might have contributed to hernia relapse in these cases.ConclusionsMisinterpretation of bladder herniation might have disastrous consequences. Laparoscopy is a helpful tool in comparable cases.
Highlights
Inguinal hernia repair is the most common surgical procedure in babies
Laparoscopy is a helpful tool in comparable cases
The incidence of inguinal hernias is much higher among preterm babies than among term-born babies, children, and adults
Summary
The incidence of inguinal hernias is much higher among preterm babies than among term-born babies, children, and adults. We report two cases of secondary bladder hernia in babies after the open repair of bilateral indirect inguinal hernias. Case presentation We retrospectively identified two cases involving bladder herniation between 2010 and 2014 During this 5-year observation period, 1100 inguinal hernia repairs were performed in the reporting pediatric surgical unit, with the vast majority of patients below 1 year of age. Bilateral scrotal hernias developed; at 3 months postnatal age (a corrected age of 40 weeks), bilateral open closure of these indirect hernias was performed. Because his right testis was in an inguinal high position, orchidopexy according to Shoemaker was required.
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