Katsaros Ioannis, Routsi Eleni, Papapanou Michail, Mastoraki Aikaterini, Kontogeorgi Evangelia, Tsapralis Dimitrios, Vlachos Konstantinos, Schizas Dimitrios
First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
Surgical Department, General Hospital of Ierapetra, Ierapetra, Greece.
ANZ J Surg. 2020 Nov;90(11):2187-2192. doi: 10.1111/ans.16252. Epub 2020 Aug 17.
A supravesical hernia (SH) is a rare abdominal wall hernia that is defined by the protrusion of abdominal viscera through the supravesical fossa. The objective of this study was to review current literature on SHs and elucidate their clinical manifestations and preferred therapeutic approach.
PubMed, Embase and Cochrane bibliographical databases were searched (last search: 30 March 2020) for articles reporting on SHs.
Thirty-four studies met our inclusion criteria and involved collectively 38 patients (94.7% males) with an age of 59.57 ± 14.84 (mean ± standard deviation) years. Abdominal pain (81.6%) and nausea and vomit (71.1%) were the most frequently encountered symptoms. The majority of patients (78.1%) had signs of bowel obstruction. Twenty-nine patients (76.3%) suffered from an internal SH, while nine (23.7%) had an external one. An open hernia repair was conducted at 29 patients (76.3%), while eight (21.1%) had a laparoscopic approach and in one case (2.6%) the laparoscopic operation was converted to an open one. A mesh was applied at 14.3% of included cases. Eight patients (21.1%) underwent a bowel resection and hernia sac was resected at six (15.8%) cases. Four patients (11.8%) experienced postoperative complications and one patient (2.9%) died on first postoperative day.
SH is an extremely rare type of hernia occurring through the supravesical fossa between the remnants of urachus and foetal umbilical arteries. All clinicians should be aware of this entity and further studies are necessary in order to clarify their aetiology, true incidence and optimal therapeutic approach.
膀胱上疝（SH）是一种罕见的腹壁疝，其定义为腹腔脏器通过膀胱上窝突出。本研究的目的是回顾关于膀胱上疝的现有文献，并阐明其临床表现和首选治疗方法。
检索了PubMed、Embase和Cochrane文献数据库（最后一次检索时间：2020年3月30日），以查找关于膀胱上疝的报道文章。
34项研究符合我们的纳入标准，共纳入38例患者（94.7%为男性），年龄为59.57±14.84（平均±标准差）岁。腹痛（81.6%）和恶心呕吐（71.1%）是最常见的症状。大多数患者（78.1%）有肠梗阻体征。29例患者（76.3%）患有内疝，而9例（23.7%）患有外疝。29例患者（76.3%）接受了开放疝修补术，8例（21.1%）采用了腹腔镜手术，1例（2.6%）腹腔镜手术转为开放手术。14.3%的纳入病例使用了补片。8例患者（21.1%）接受了肠切除术，6例（15.8%）切除了疝囊。4例患者（11.8%）出现术后并发症，1例患者（2.9%）在术后第一天死亡。
膀胱上疝是一种极其罕见的疝类型，通过脐尿管残余和胎儿脐动脉之间的膀胱上窝发生。所有临床医生都应了解这种疾病，需要进一步研究以阐明其病因、真实发病率和最佳治疗方法。
