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24 January 2025 : Review article  

Characteristics and Associated Risk Factors of Broad Ligament Hernia: A Systematic Review

Kelsey Dowers ORCID logo12BCDEF, Sabrina Costantini3BCDEF, Michael J. Montalbano ORCID logo3BCDEF, Vasilis Paraschos4BCDEF, Ewarld G. Marshall5BCDEF, Marios Loukas3567ADE*

DOI: 10.12659/MSM.946710

Med Sci Monit 2025; 31:e946710

Figure 2 Illustration of Cilley’s classification of broad ligament herniation. The classification is divided into 3 distinct types based on the location and extent of the herniation: Type 1: A defect occurs in the broad ligament’s mesosalpinx, through which bowel loops may herniate. Type 2: A defect is found in the entire broad ligament but spares the uterine attachment, allowing organs such as the bowel to pass through. Type 3: A complete trans-ligamentous defect where the herniation occurs through the broad ligament’s entire thickness, often involving large segments of bowel.In the figure, arrows point to the sites of herniation, with numbers identifying each type of defect: Type 1 defect, type 2 defect, and type 3 defect.Each type is visually represented by shaded areas to distinguish between different defect locations within the broad ligament. The anatomical landmarks, including the uterus and adjacent structures, are indicated to clarify the relation between the defect and surrounding tissues.BL – broad ligament; UT – uterus.The image was prepared using professional image-editing software. This image was created by Janine Murta, BA, MSc, a faculty medical illustrator at St. George’s University School of Medicine. No AI or generative features were used in the process of creation. This illustration was developed from scratch using Adobe Illustrator and Photoshop version 25.12 (industry standard software for art and asset creation). The image creation process involved sketching various angles of the anatomy and selecting the best view to encompass all the types of broad ligament herniation. Once the best angle was chosen, further refinement, color, and details were rendered. The final image demonstrates the culmination of this refinement and rendering. [© 2024, Janine Murta, BA, MSc].

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750