Rare Presentations of Hernia

Abstract

Rare types of hernias require the use of astute clinical judgment and high index of suspicion with supportive information obtained with cross sectional imaging. Having a clear understanding is important to the current surgeon as well as gyne-cologist. This chapter attempts to compile the common types of these rare hernias to discuss anatomical defects, imaging features and treatment options. Technical details of treatment are not offered for each type in detail due to limited scope of this text. The emphasis on clinical examination and judgment cannot be overstated and depending on cross sectional imaging alone for clinical diagnosis is discour-aged. Introduction of minimally invasive surgery has changed the landscape for rare hernias with some new types being added—such as port site hernia—but mostly with less invasive treatment options being added to the armament. It is expected that laparoscopic hernia repair for these rare hernias will be soon the preferred modality of treatment.