Interstitial Hernia Research Articles

The lateral triangle of the groin

The lateral triangle (LT) of the groin is an area that includes the deep inguinal ring (DIR), and the tissues immediately lateral to it. It is vulnerable to develop recurrent indirect inguinal and interstitial hernias. An interstitial hernia is one in which the sac burrows through or between muscular layers. One typically presents as a palpable bulge at the lateral aspect of a prior inguinal incision; and it becomes more evident when the patient does a Valsalva maneuver. A review was done of our personal, single-center, four-year, series of recurrent inguinal hernia repairs. It showed that preference for a new site of recurrent hernia occurred when many open and laparoscopic mesh-repairs failed. Lateral failure following open-mesh repair (OMR) was related to using mesh to plug or cover the defect(s) of a primary or a recurrent hernia. Failure of laparoscopic hernia repair (LHR) typically was due to inadequate coverage lateral to the DIR. In a consecutive series of 3216 inguinal hernias repaired by the authors, 2768 were primary hernias, and 452 were 1X-4X recurrent hernias. Mesh had been used in groups of 28 prior LHR, and 20 prior OMR. The location of recurrences following any of the classical anterior open non-mesh repairs, i.e. Bassini, Halsted, McVay, Shouldice (ONMR), OMR, and LHR is compared. Based on our findings, we conclude that muscular weakness in the LT of the groin, coupled with mesh placed in the medial triangle of the groin, is the major cause of interstitial recurrent inguinal hernias.

Intraparietal (interstitial) hernia. A rare variety of a common condition

A rare variety of intraparietal hernia is described in a five-months-old boy. It was an extension of a right inguinal hernial sac with undescended; testis. The sac passed upwards and laterally between the external oblique aponeurosis and the internal oblique muscle. The patient was treated surgically by excision of the hernial sac and the right undescended testis fixed in a subdartous pouch. The baby was discharged from hospital in good condition.

Interstitial hernia: A diagnostic dilemma in infants and children

The features of the rare interstitial hernia, as seen in four children, are described. All were boys ranging in age from 7 days to 7 years. The presenting sign was swelling in the right side of the abdomen associated with undescended testis. The hernias arose at the deep inguinal ring and expanded superiorly between the internal and external oblique muscles. Repair involved a standard herniotomy and orchidopexy through an oblique inguinal incision—except in one patient with a vanishing testis. The importance of being aware of this rare type of hernia is stressed.

Interstitial hernia: A report of four cases in infants : D.P. Drake and B.K. Biswas. Br J Surg 77:906–907, (August), 1990

Interstitial hernia: A report of four cases in infants : D.P. Drake and B.K. Biswas. Br J Surg 77:906–907, (August), 1990

Sigmoid volvulus: A new concept in treatment

One of the problems in management of sigmoid volvulus is the possibility of recurrence. Various surgical procedures have been advocated for preventing recurrence but all have certain shortcomings. Most of them are useless in preventing recurrence in a large majority of cases. One form of treatment advocated is the creation of an interstitial hernia but this is unphysiologic. Exteriorization and resection (Paul-Mikulicz procedure) and resection with primary anastomosis carry considerable morbidity and occasional mortality. In the Paul-Mikulicz type of resection, more than one surgical procedure may be required before normal colonic function returns. Hartmann's procedure is usually not advocated except in desperate cases and this necessarily involves a second operation before normal bowel movements can occur. The ideal procedure would be one that can be carried out as a primary procedure, that is simple with no increase in morbidity or mortality, and that ensures prevention of recurrence. The method that we think is ideal is described herein. It involves laparotomy, derotation and deflation of the sigmoid colon, and creation of a temporary colostomy using a Foley catheter to ensure prevention of recurrence. This form of colostomy does not have the usual disadvantage of requiring closure before normal bowel movements can occur. In addition, this simple operation is as effective as any other known procedure in preventing recurrence. This operation has been used in ten patients and has prevented recurrence in all. The longest follow-up period has been two years, and so far no complications have been observed.

Bilateral interstitial hernia in the newborn infant: Bakhshish Masih, Saraswathi Swamy, and Barry Altman. Surgery 69:577–581 (April), 1971

Bilateral interstitial hernia in the newborn infant: Bakhshish Masih, Saraswathi Swamy, and Barry Altman. Surgery 69:577–581 (April), 1971

Accidental strangulation of interstitial hernia following inguinal herniorrhaphy. Report of a case.

INTERSTITIAL hernia is one of the three types of interparietal hernias, the others being the "superficial" and the "properitoneal." Barling¹defined interparietal hernia as a hernial sac, usually in the inguinal region, which passes between the layers of anterior abdominal wall. The sac may or may not be associated with, or communicate with, a sac in the common situation in the inguinal canal, passing down into the scrotum. In the interstitial variety, the sac lies between the muscle layers of the abdominal wall. These are rare types of hernias appearing rather sporadically in the literature and reported in detail by Lower and Hicken²in 1931, and by Burton³in 1953. Of major importance is the fact that when symptomatic, they go unrecognized preoperatively and are mostly diagnosed at the time of exploratory surgery. However, when they are asymptomatic, their association with other surgical conditions makes them still

Interstitial Hernia: A Problem in Diagnosis

(1956). Interstitial Hernia: A Problem in Diagnosis. Postgraduate Medicine: Vol. 19, The Johns Hopkins University School of Medicine and Hospital, pp. 45-47.

Interstitial hernia and hernia through the conjoined tendon

Interstitial hernia and hernia through the conjoined tendon

Interstitial ventral hernia involving the small intestine: Case report

A case of interstitial ventral hernia of the small bowel is presented because of its rarity and because of the diagnostic difficulties associated with this condition. Although over 500 cases of interstitial hernia of the inguinal region have been reported, a review of the American literature failed to reveal any cases of ventral hernia of the interstitial type. The importance of x-ray studies, both flat plates and small intestinal studies following a barium meal, is emphasized as being of prime importance in establishing a diagnosis.

A case of interstitial hernia

A case of interstitial hernia

Traumatic interstitial hernia of the bladder

Traumatic interstitial hernia of the bladder