Herniation Through Defects in the Broad Ligament

We sought to assess hernia characteristics and classification through comprehensive review of the literature involving broad ligament herniation. A literature search via MEDLINE and Embase databases was conducted to identify and select broad ligament herniation studies published between January 1, 2...

Full description

Saved in:
Bibliographic Details
Published inJournal of the Society of Laparoendoscopic Surgeons Vol. 25; no. 2; p. e2020.00112
Main Authors Sajan, Abin, Hakmi, Hazim, Griepp, Daniel W, Sohail, Amir H, Liu, Helen, Halpern, David
Format Journal Article
LanguageEnglish
Published United States Society of Laparoendoscopic Surgeons 01.04.2021
Subjects
Online AccessGet full text

Cover

Loading…
Abstract We sought to assess hernia characteristics and classification through comprehensive review of the literature involving broad ligament herniation. A literature search via MEDLINE and Embase databases was conducted to identify and select broad ligament herniation studies published between January 1, 2000 and September 30, 2020. Extracted data included previous surgical history, previous obstetric history, diagnostic imaging, herniated organ, hernia classification, and repair performed. The reported data has been compared to a unique case of broad ligament herniation that presented to our institution. A total of 44 articles with 49 cases were identified for the study. Eighteen (36.7%) patients had a history of previous abdominal surgery while 29 (59.2%) had a history of previous childbirth. Type I (51.0%) and Type II (18.4%) defects were most commonly reported with most patients reporting only one defect (85.7%) using the Cilley classification. Twenty-nine patients underwent primary laparoscopic repair of the defect while 19 patients underwent exploratory laparotomy. The analysis of previously reported cases adds to the limited literature on broad ligament hernias and highlights the surgical management of this uncommon pathology. It also highlights the need for a broad differential diagnosis when female patients present with pelvic pain or symptoms of small bowel obstruction. The broad ligament should be fully inspected when mesenteric defects are suspected as multiple defects can be present as evidenced by the attached case study.
AbstractList We sought to assess hernia characteristics and classification through comprehensive review of the literature involving broad ligament herniation. A literature search via MEDLINE and Embase databases was conducted to identify and select broad ligament herniation studies published between January 1, 2000 and September 30, 2020. Extracted data included previous surgical history, previous obstetric history, diagnostic imaging, herniated organ, hernia classification, and repair performed. The reported data has been compared to a unique case of broad ligament herniation that presented to our institution. A total of 44 articles with 49 cases were identified for the study. Eighteen (36.7%) patients had a history of previous abdominal surgery while 29 (59.2%) had a history of previous childbirth. Type I (51.0%) and Type II (18.4%) defects were most commonly reported with most patients reporting only one defect (85.7%) using the Cilley classification. Twenty-nine patients underwent primary laparoscopic repair of the defect while 19 patients underwent exploratory laparotomy. The analysis of previously reported cases adds to the limited literature on broad ligament hernias and highlights the surgical management of this uncommon pathology. It also highlights the need for a broad differential diagnosis when female patients present with pelvic pain or symptoms of small bowel obstruction. The broad ligament should be fully inspected when mesenteric defects are suspected as multiple defects can be present as evidenced by the attached case study.
BACKGROUNDWe sought to assess hernia characteristics and classification through comprehensive review of the literature involving broad ligament herniation. METHODSA literature search via MEDLINE and Embase databases was conducted to identify and select broad ligament herniation studies published between January 1, 2000 and September 30, 2020. Extracted data included previous surgical history, previous obstetric history, diagnostic imaging, herniated organ, hernia classification, and repair performed. The reported data has been compared to a unique case of broad ligament herniation that presented to our institution. RESULTSA total of 44 articles with 49 cases were identified for the study. Eighteen (36.7%) patients had a history of previous abdominal surgery while 29 (59.2%) had a history of previous childbirth. Type I (51.0%) and Type II (18.4%) defects were most commonly reported with most patients reporting only one defect (85.7%) using the Cilley classification. Twenty-nine patients underwent primary laparoscopic repair of the defect while 19 patients underwent exploratory laparotomy. CONCLUSIONSThe analysis of previously reported cases adds to the limited literature on broad ligament hernias and highlights the surgical management of this uncommon pathology. It also highlights the need for a broad differential diagnosis when female patients present with pelvic pain or symptoms of small bowel obstruction. The broad ligament should be fully inspected when mesenteric defects are suspected as multiple defects can be present as evidenced by the attached case study.
Author Liu, Helen
Sohail, Amir H
Hakmi, Hazim
Sajan, Abin
Griepp, Daniel W
Halpern, David
Author_xml – sequence: 1
  givenname: Abin
  surname: Sajan
  fullname: Sajan, Abin
  organization: Department of Surgery, NYU Langone Hospital - Long Island, Mineola, NY
– sequence: 2
  givenname: Hazim
  surname: Hakmi
  fullname: Hakmi, Hazim
  organization: Department of Surgery, NYU Langone Hospital - Long Island, Mineola, NY
– sequence: 3
  givenname: Daniel W
  surname: Griepp
  fullname: Griepp, Daniel W
  organization: College of Medicine, New York Institute of Technology, Old Westbury, NY
– sequence: 4
  givenname: Amir H
  surname: Sohail
  fullname: Sohail, Amir H
  organization: Department of Surgery, NYU Langone Hospital - Long Island, Mineola, NY
– sequence: 5
  givenname: Helen
  surname: Liu
  fullname: Liu, Helen
  organization: Department of Surgery, NYU Langone Hospital - Long Island, Mineola, NY
– sequence: 6
  givenname: David
  surname: Halpern
  fullname: Halpern, David
  organization: Department of Surgery, NYU Langone Hospital - Long Island, Mineola, NY
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34248336$$D View this record in MEDLINE/PubMed
BookMark eNpVkEtPwzAQhC1URB9w5oZy5JLWz8S5IEF5FBSJQ8vZcpxNE9TExU6Q-PektFRw2pV2dmb0jdGgsQ0gdEnwlNOEzV6W6XJKMcVTjAmhJ2hEEiZDFifxoN-xjEKJZTJEY-_fMeaCYnGGhoxTLhmLRggvwDWVbivbBKvS2W5dBvdQgGl9UDVBW0Jw56zOg7Ra6xqa9hydFnrj4eIwJ-jt8WE1X4Tp69Pz_DYNDUtYG1KOBcuN0aCBylxADoYaLonIDY1IHnEwGYe4iCFLMJGZ4Bw0Z5RqTqIoYxN0s_fddlkNuemjnd6oratq7b6U1ZX6f2mqUq3tp5KUEyqT3uD6YODsRwe-VXXlDWw2ugHbeUWFwBEjEee9dLaXGme9d1AcYwhWO85qx1ntOKsfzv3H1d92R_0vWPYNEi561g
CitedBy_id crossref_primary_10_1053_j_gastro_2022_12_025
crossref_primary_10_1111_1744_1633_12630
crossref_primary_10_1016_j_ijscr_2023_108160
ContentType Journal Article
Copyright 2021 by SLS, Society of Laparoscopic & Robotic Surgeons.
2021 by SLS, Society of Laparoscopic & Robotic Surgeons. 2021 Society of Laparoscopic & Robotic Surgeons.
Copyright_xml – notice: 2021 by SLS, Society of Laparoscopic & Robotic Surgeons.
– notice: 2021 by SLS, Society of Laparoscopic & Robotic Surgeons. 2021 Society of Laparoscopic & Robotic Surgeons.
DBID CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
5PM
DOI 10.4293/JSLS.2020.00112
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
MEDLINE - Academic
PubMed Central (Full Participant titles)
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
MEDLINE - Academic
DatabaseTitleList MEDLINE
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1938-3797
ExternalDocumentID 10_4293_JSLS_2020_00112
34248336
Genre Journal Article
Review
GroupedDBID ---
29L
2WC
53G
AAKDD
ADBBV
ADRAZ
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BAWUL
CGR
CUY
CVF
DIK
EBD
EBS
ECM
EIF
EJD
F5P
GX1
HYE
KQ8
M48
M~E
NPM
O5R
O5S
OK1
RPM
SV3
AAYXX
CITATION
7X8
5PM
ID FETCH-LOGICAL-c393t-24053dccaeae28d5edec2c4815dc261d64ecb4e7f7eb9018b544ea4322a4166b3
IEDL.DBID RPM
ISSN 1086-8089
IngestDate Mon Apr 15 05:40:28 EDT 2024
Fri Oct 25 23:14:15 EDT 2024
Fri Aug 23 01:02:48 EDT 2024
Thu May 23 23:38:54 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Keywords Hernia
Minimally invasive surgery
Small bowel
Broad ligament
Language English
License 2021 by SLS, Society of Laparoscopic & Robotic Surgeons.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c393t-24053dccaeae28d5edec2c4815dc261d64ecb4e7f7eb9018b544ea4322a4166b3
Notes ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241289/
PMID 34248336
PQID 2550631644
PQPubID 23479
ParticipantIDs pubmedcentral_primary_oai_pubmedcentral_nih_gov_8241289
proquest_miscellaneous_2550631644
crossref_primary_10_4293_JSLS_2020_00112
pubmed_primary_34248336
PublicationCentury 2000
PublicationDate 2021-04-01
PublicationDateYYYYMMDD 2021-04-01
PublicationDate_xml – month: 04
  year: 2021
  text: 2021-04-01
  day: 01
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: Miami, FL
PublicationTitle Journal of the Society of Laparoendoscopic Surgeons
PublicationTitleAlternate JSLS
PublicationYear 2021
Publisher Society of Laparoendoscopic Surgeons
Publisher_xml – name: Society of Laparoendoscopic Surgeons
SSID ssj0045205
Score 2.3193662
SecondaryResourceType review_article
Snippet We sought to assess hernia characteristics and classification through comprehensive review of the literature involving broad ligament herniation. A literature...
BACKGROUNDWe sought to assess hernia characteristics and classification through comprehensive review of the literature involving broad ligament herniation....
SourceID pubmedcentral
proquest
crossref
pubmed
SourceType Open Access Repository
Aggregation Database
Index Database
StartPage e2020.00112
SubjectTerms Adult
Broad Ligament - pathology
Broad Ligament - surgery
Diagnosis, Differential
Female
Hernia - diagnosis
Hernia - pathology
Herniorrhaphy - methods
Humans
Intestinal Obstruction - diagnosis
Intestine, Small - pathology
Laparoscopy - methods
Laparotomy - methods
Middle Aged
Pelvic Pain - diagnosis
Pelvic Pain - pathology
SummonAdditionalLinks – databaseName: Scholars Portal Journals: Open Access
  dbid: M48
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1NSwMxEA1SQbyI39YvInjw0lqT7Hb3JKKWUlovbaG3JdnMakG22g_Qf-_L7rZa7cHzLsnyksm8tzOZYezyRpKGH9aVRNQIAiWESZkwrvieF_gWjDkM3OXkzpPf7KvWwBt8twMqAJyslHaun1R__Fr9eP-8hcGDv1ZxmsrrVrfdhdITtSysgPN4XcAtuvyujlqEFJQnsnxG11kIx3IQ5nV-Vg2w7KL-8M7f6ZM__FFjm20VRJLf5Su_w9Yo3WUbnSJUvsdqTXI3rhzuvJc34-EPlCVv8GHKwfs4JLi2vD181u4X4T7rNx57981K0R6hEstQTl1cxJMWK0CaRGA9shSL2BVfsTF0kfUVxUZRPamTgdcPjKcUaQUL1mBhvpEHrJSOUjpiXIcCRAD-MomhYKQNRWJg2NYa8DOb-GV2NUckesurYERQDw68yIEXOfCy9DhRZhdzxCLsVBd-0CmNZpMI4gV8CPJMldlhjuBiMKkE5pWYqL6E7eIFVwV7-Uk6fMmqYQfgIFCNx___xBO2KVxmSpZ_c8pK0_GMzkAtpuY82zJfBSvJrg
  priority: 102
  providerName: Scholars Portal
Title Herniation Through Defects in the Broad Ligament
URI https://www.ncbi.nlm.nih.gov/pubmed/34248336
https://search.proquest.com/docview/2550631644
https://pubmed.ncbi.nlm.nih.gov/PMC8241289
Volume 25
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1NT8JAFHwBDsaL8dv6lZp48FKKu9vSHg1KCKHGBEi4NftVbSKFKPx_325bAnrzTGma6e7OTHf2PYD7R6o58jD3MtLRaFBinFIill4YBFGoUDHHkTmcnLyGgykbzoJZA4L6LIwN7UuRt4vPebvIP2y2cjmXfp0T89-SXoS0g0bBb0IT6be26OXyywJic4umgxAuv1Fc1vPBZZf6w_FojJaQdOz-g2lkQxlhEbX1mbdY6Y_U_J2Y3KKg_iEcVNrRfSqf8QgaujiGvaTaHT-BzkCbQ1YGandS9t9xn7XNa7h54aLUc9F1c-WO8nduvgqewrT_MukNvKojgidpTFdmKySgCkHXXJNIBVppSaSpt6IkWiEVMi0F092sqwUSfSQCxjRnOGk5Cq9Q0DNoFYtCX4DLY4LcjxSZSTQtVMUkEziXlRIoyVQWOvBQI5Iuy8IXKRoGg2NqcEwNjjYRRxy4qxFLcXCaHQde6MX6O0W_ghIIHRlz4LxEcHOzGnoHujvYbi4wha93f8HxYAtgV-__8t__vIJ9YrIpNoFzDa3V11rfoLhYiVtoJiy6tUPqBwEEzbA
link.rule.ids 230,314,727,780,784,885,2221,24318,27924,27925,53791,53793
linkProvider National Library of Medicine
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT8JAEJ4gJurF-BafNfHghdc-Sns0KEEEYgIk3Jp9VZtIIQr_39ktJaA3z32k-TK7832db2cA7uvUCMzDohyTmkGBEuKSkqEq-5wHvkbGHAb2cHKv77dHrDPm4wLw_CyMM-0rmVTSz0klTT6ct3I2UdXcJ1Z96zUDTDsoFKpbsM1pI6znIj3bgBknzrloZwjhBhyEWUcf3HhptTPoDlAUkpqrQNhRNpQRFlDXoXktL_0hm789k2tJqHUA-0v26D1mX3kIBZMewU5vWR8_hlrb2GNWFmxvmE3g8Z6Mc2x4Seoh2fNQdwvtdZN3Yf8LnsCo9TxstsvLmQhlRUM6t8UQTjXCboQhgeZGG0WU7biiFYoh7TOjJDONuGEkpvpAcsaMYLhsBVIvX9JTKKbT1JyDJ0KC2R-TZKxQtlAdkljiatZaIinTsV-ChxyRaJa1vohQMlgcI4tjZHF0njhSgrscsQjD09YcRGqmi-8IFQuSINRkrARnGYKrl-XQl6Cxge3qBtv6evMKRoRrgb2MgIt_P3kLu-1hrxt1X_qvl7BHrFPF-XGuoDj_WphrpBpzeeMC6wcpjdAr
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT8JAEJ4oJsSL8S0-a-LBSynubkt7NCBBBEICJNyafVWbSCEK_9_ZLSWgN899pPkyu_N9nW9nAB6eqOaYh7mbkJpGgRLhkhKRdAPfDwOFjDkKzeHkXj9oj1ln4k82Rn1Z074UaTX7nFaz9MN6K-dT6RU-MW_Qa4SYdlAoeHOVeLuw51MMskKo55sw84l1L5o5QrgJh1He1Qc3X-p1ht0hCkNSs1UIM86GMsJCars0b-SmP4Tzt29yIxG1DuFgxSCd5_xLj2BHZ8dQ7q1q5CdQa2tz1MoA7ozyKTxOU1vXhpNmDhI-B7U3V043fefm3-ApjFsvo0bbXc1FcCWN6MIURHyqEHrNNQmVr5WWRJquK0qiIFIB01IwXU_qWmC6D4XPmOYMly5H-hUIegalbJbpC3B4RJABYKJMJEoXqiKSCFzRSgkkZioJKvBYIBLP8_YXMcoGg2NscIwNjtYXRypwXyAWY4iaugPP9Gz5HaNqQSKEuoxV4DxHcP2yAvoK1LewXd9g2l9vX8GosG2wV1Fw-e8n76A8aLbi7mv_7Qr2iTGrWEvONZQWX0t9g2xjIW5tXP0AQbjRPg
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Herniation+Through+Defects+in+the+Broad+Ligament&rft.jtitle=Journal+of+the+Society+of+Laparoendoscopic+Surgeons&rft.au=Sajan%2C+Abin&rft.au=Hakmi%2C+Hazim&rft.au=Griepp%2C+Daniel+W.&rft.au=Sohail%2C+Amir+H.&rft.date=2021-04-01&rft.issn=1086-8089&rft.eissn=1938-3797&rft.volume=25&rft.issue=2&rft.spage=e2020.00112&rft_id=info:doi/10.4293%2FJSLS.2020.00112&rft.externalDBID=n%2Fa&rft.externalDocID=10_4293_JSLS_2020_00112
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1086-8089&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1086-8089&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1086-8089&client=summon