{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T01:30:43Z","timestamp":1769736643450,"version":"3.49.0"},"reference-count":16,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,23]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>Arcuate line hernias (ALHs) are rare intraparietal hernias, with a prevalence ranging from 1.62% to 2%. These hernias occur at the arcuate line (AL)\u2014a significant anatomical transition zone where the posterior lamella of the internal oblique and transversus abdominis aponeurosis shift from contributing fibres to the posterior sheath to the anterior sheath. Uniquely, ALHs do not present with a palpable defect. Although typically asymptomatic, incarceration and strangulation have been reported. Presently, there is no consensus regarding the optimal repair technique for ALHs, which pose a specific challenge in surgical repair due to the absence of a fascial edge to suture to below the AL, as commonly performed in other abdominal hernia repairs. We report an ALH repaired laparoscopically with transfascial sutures and intraperitoneal onlay mesh. Preoperative findings, imaging, anatomical considerations, and tailored surgical approach are discussed, complemented by an extensive review of the literature.<\/jats:p>","DOI":"10.1136\/bcr-2024-263906","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T13:06:00Z","timestamp":1739451960000},"page":"e263906","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Arcuate line hernia repair: a laparoscopic technique with transfascial primary repair and mesh reinforcement"],"prefix":"10.1136","volume":"18","author":[{"given":"Abhishet","family":"Varama","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suppa-ut","family":"Pungpapong","sequence":"additional","affiliation":[{"name":"Surgery, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8145-9555","authenticated-orcid":false,"given":"Sopark","family":"Manasnayakorn","sequence":"additional","affiliation":[{"name":"Surgery, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5199-8590","authenticated-orcid":false,"given":"Voranaddha","family":"Vacharathit","sequence":"additional","affiliation":[{"name":"Surgery, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"2025082800252631000_18.2.e263906.1","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1111\/j.1447-073X.2007.00221.x","article-title":"Arcuate line of the rectus sheath: clinical approach","volume":"83","author":"Loukas","year":"2008","journal-title":"Anat Sci Int"},{"key":"2025082800252631000_18.2.e263906.2","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/PRS.0000000000004043","article-title":"Redefining the Rectus Sheath: Implications for Abdominal Wall Repair","volume":"141","author":"Punekar","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"2025082800252631000_18.2.e263906.3","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s00276-007-0218-0","article-title":"Multidetector computed tomography features of linea arcuata (arcuate-line of Douglas) and linea arcuata hernias","volume":"29","author":"Coulier","year":"2007","journal-title":"Surg Radiol Anat"},{"key":"2025082800252631000_18.2.e263906.4","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1007\/s10029-019-02067-8","article-title":"Incidence of arcuate line hernia in patients with abdominal complaints: radiological and clinical features","volume":"23","author":"Bloemen","year":"2019","journal-title":"Hernia"},{"key":"2025082800252631000_18.2.e263906.5","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1007\/s10029-012-0982-6","article-title":"The arcuate line hernia: operative treatment and a review of the literature","volume":"17","author":"Montgomery","year":"2013","journal-title":"Hernia"},{"key":"2025082800252631000_18.2.e263906.6","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1007\/s00464-014-3738-9","article-title":"Which should be the gold standard laparoscopic technique for handling Spigelian hernias?","volume":"29","author":"Moreno-Egea","year":"2015","journal-title":"Surg Endosc"},{"key":"2025082800252631000_18.2.e263906.7","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-021-02511-8"},{"key":"2025082800252631000_18.2.e263906.8","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s10029-009-0526-x","article-title":"The linea arcuata hernia: a report of two cases","volume":"14","author":"von Meyenfeldt","year":"2010","journal-title":"Hernia"},{"key":"2025082800252631000_18.2.e263906.9","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s10029-010-0639-2","article-title":"Symptomatic linea arcuata hernia","volume":"15","author":"Abasbassi","year":"2011","journal-title":"Hernia"},{"key":"2025082800252631000_18.2.e263906.10","doi-asserted-by":"crossref","first-page":"e110","DOI":"10.1097\/SLE.0b013e31828fa7a1","article-title":"Laparoscopic arcuate line hernia repair","volume":"24","author":"Messaoudi","year":"2014","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082800252631000_18.2.e263906.11","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1016\/j.diii.2015.09.008","article-title":"Twisted parietal peritoneal lipomatous appendage incarcerated in a linea arcuata hernia: Imaging findings","volume":"97","author":"Verlynde","year":"2016","journal-title":"Diagn Interv Imaging"},{"key":"2025082800252631000_18.2.e263906.12","doi-asserted-by":"crossref","unstructured":"Hugot M , Paulin EN , Stolz A . Chronic Pain Treated Successfully with Novel Taping Therapy: A New Approach to the Treatment of Pain. J Clin Case Rep 2017;07. doi:10.4172\/2165-7920.10001011","DOI":"10.4172\/2165-7920.10001011"},{"key":"2025082800252631000_18.2.e263906.13","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/SAP.0000000000001671","article-title":"Linea Arcuate Hernia Following Transversus Abdominis Release Incisional Hernia Repair","volume":"82","author":"McCulloch","year":"2019","journal-title":"Ann Plast Surg"},{"key":"2025082800252631000_18.2.e263906.14","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjz268","article-title":"Hybrid laparoscopic\/open mesh repair of combined bilateral arcuate line and ventral hernias","volume":"2019","author":"Berney","year":"2019","journal-title":"J Surg Case Rep"},{"key":"2025082800252631000_18.2.e263906.15","doi-asserted-by":"crossref","first-page":"2843","DOI":"10.1111\/ans.16858","article-title":"Laparoscopic enhanced view total extraperitoneal repair for rare and elusive arcuate hernia","volume":"91","author":"Kollias","year":"2021","journal-title":"ANZ J Surg"},{"key":"2025082800252631000_18.2.e263906.16","doi-asserted-by":"crossref","DOI":"10.1186\/s40792-021-01281-w","article-title":"Single-incision laparoscopic repair for an arcuate line hernia: a case report","volume":"7","author":"Fukunaga","year":"2021","journal-title":"Surg Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263906","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:25:38Z","timestamp":1756365938000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263906"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,13]]},"published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1136\/bcr-2024-263906"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263906","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}