Hernie de Spiegel : quand l’imagerie sauve la clinique

Lamrani, Youssef Alaοui; Souiki, Tarik; Alami, Badreeddine; Majdoub, Karim Ibn; Bοubbοu, Meryem; Kamaoui, Imane; Maâroufi, Mohamed; Houssaini, N. Sqalli; Tizniti, S.

doi:10.1007/s12157-014-0523-2

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…Differential diagnosis of a palpable mass in the typical region of SpH, includes lipoma [ 5 ], hematoma of rectus abdominis muscle or any abdominal solid tumour. Pain in the left inguinal fossa without palpable lump, can be confused with all other causes of left-sided abdominal pain, such as acute sigmoid diverticulitis for instance [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

Spigelian hernia: current approaches to surgical treatment—a review

Hanzalova

Schäfer

Demartines

et al. 2021

Hernia

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Background Spigelian hernias (SpH) belong to the group of eponymous abdominal wall hernias. Major reasons for diagnostic difficulties are its low incidence reaching maximum 2% of abdominal wall hernias, a specific anatomical localization with intact external oblique aponeurosis covering the hernia sac and non-constant clinical presentation. Methods A literature review was completed to summarize current knowledge on surgical treatment options and results. Results SpH presents a high incarceration risk and therefore should be operated upon even if the patient is asymptomatic. Both laparoscopic and open repair approaches are validated by current guidelines with lesser postoperative complications and shorter hospital stay in favour of minimally invasive surgery, regardless of the technique used. Overall recurrence rate is very low. Conclusion All diagnosed SpH should be planned for elective operation to prevent strangulated hernia and, therefore emergency surgery. Both open and laparoscopic SpH treatment can be safely performed, depending on surgeon’s experience. In most cases, a mesh repair is generally advised.

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Section: Methodsmentioning

confidence: 99%