Hernia traumática de Spiegel: reparación laparoscópica extraperitoneal electiva

Moreno-Egea, Alfredo; Campillo-Soto, Álvaro; Girela-Baena, Enrique; Ja, Torralba-Martínez; M, Corral de la Calle; Jl, Aguayo-Albasini

doi:10.1016/s0009-739x(06)70815-6

Cited by 7 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18,25 These pathologies include morbid obesity, weight loss, aging, multiparity, chronic obstructive pulmonary disease, collagen disorders, prostate enlargement, ascites, continuous ambulatory peritoneal dialysis, trauma, as well as previous open and laparoscopic preperitoneal abdominal operations. 22,[26][27][28][29][30][31][32][33] Inciting conditions play a role in weakening the Spigelian aponeurosis at its most vulnerable location, namely the Spigelian triangle. This inherently weak area is limited by the semilunar line laterally, the semicircular line superiorly, and the inferior epigastric ves-sels inferiorly.…”

Section: Discussionmentioning

confidence: 99%

“…5-8, 25, 34-36 Owing to these anatomic features, Spigelian hernias most frequently (>90%) occur within the Spigelian hernia belt, defined as the 6-cm horizontal zone cephalad to the interspinal plane. 22,30,31,[35][36][37][38][39][40] Hernias above and below this zone have been reported as well. [37][38][39][40][41][42] Spigelian hernias are rare, accounting for only 0.1 per cent to 2 per cent of all hernias and 0.1 per cent to 0.4 per cent of all abdominal wall hernias.…”

Section: Discussionmentioning

confidence: 99%

“…Acute presentation of strangulated Spigelian hernia can mimic other intra-abdominal and inflammatory conditions including gastric ulcer, cholecystitis, appendicitis, obstructing colon cancer, ventral hernias, diverticulitis, abdominal wall trauma, and Crohn's disease. 31,37,54,[74][75][76][80][81][82][83][84] In re-ports published since 2001 with greater than seven patients (median 28 patients), the requirement for emergent intervention varied between 0 per cent and 25 per cent whereas complications at the time of presentation ranged from 10 per cent to 33 per cent. 29, 30, 38-41, 52, 56, 67, 85, 86 Although each surgical approach has advantages and disadvantages, surgeon preference and patient circumstance often dictate the chosen technique.…”

Section: Discussionmentioning

confidence: 99%

“…[95][96][97] Morbidity is less than with open repair and the recurrence rate in recent studies of primary Spigelian hernia after TEP herniorrhaphy was 0 per cent. 31,52,53,[94][95][96][97] Similarly, proponents of TAPP claim shorter hospital stays and decreased morbidity compared with open operation. TAPP repair of a Spigelian hernia may be most applicable in patients with other pathology such as inguinal or ventral hernias that could be repaired concurrently.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Mesh-Free Laparoscopic Spigelian Hernia Repair

Bittner

Edwards

Shah

et al. 2008

The American Surgeon™

View full text Add to dashboard Cite

Varied Spigelian hernia mesh repair techniques have been described, although evidence suggests laparoscopy results in less morbidity and shorter hospitalization compared with open procedures. Laparoscopic suture repair of Spigelian hernias is rarely reported. Two patients with small Spigelian hernias (≤2 cm) were diagnosed and repaired laparoscopically using a transabdominal suture technique. Under laparoscopic guidance, a suture-passer was used to place two or three transfacial, interrupted 0 polypropylene sutures along the horizontal plane of the defect. Sutures were tied extracorporeally and closure was confirmed laparoscopically. These cases spurred a review of world literature (2001–2007) including clinical characteristics, operative techniques, and urgency of operations in Spigelian hernia patients. Data were compared using Fisher's exact test. One year postoperatively, the patients are without sequelae or recurrence. Literature review demonstrated most patients were females ( P < 0.001), ranged in age from 60 to 80 years ( P = 0.042), and presented with left-sided hernias ( P = 0.026). Open mesh repair (182/392 cases; 47%) was the most common technique; however, increasingly articles describe laparoscopic mesh repair. Mesh-free laparoscopic suture repair is feasible and safe. This novel uncomplicated approach to small Spigelian hernias combines the benefits of laparoscopic localization, reduction, and closure without the morbidity and cost associated with foreign material.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mesh-Free Laparoscopic Spigelian Hernia Repair

Bittner

Edwards

Shah

et al. 2008

The American Surgeon™

View full text Add to dashboard Cite

show abstract

A hernia in the inguinal region is not always an inguinal hernia

Basu

Pandey

Sharma

2007

Hernia

View full text Add to dashboard Cite

A male patient of 60 years presented with a swelling in the left groin of 10 months duration. Past records showed bilateral lumbar sympathectomy and omentopexy done 20 and 6 years back, respectively, for Buerger's disease. Abdominal examination revealed a huge hernial swelling in the left groin extending from the symphysis pubis to anterior superior iliac spine measuring 25 x 18 cm. On exploration, the contents were intestines and omentum, which were coming out through a defect of 5 x 3 cm in the lower fibers of the conjoint muscle 4 cm cephalad to the deep ring, a finding which made the final diagnosis as an incisional hernia. We present this interesting case as a very rare complication of omentopexy, probably not reported previously, and an unusual case of an incisional hernia presenting as an inguinal hernia which is very difficult to diagnose unless encountered before. Its rarity and clinical challenge is highlighted.

show abstract