Laparoscopic repair of bilateral spigelian and inguinal hernias

Gedebou, Tewodros M.; Neubauer, Werner

doi:10.1007/s004649900873

Cited by 32 publications

(15 citation statements)

References 5 publications

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“…All these indices are similar to those in the laparoscopic approach. [46][47][48][49][50][51][52][53] The use of robotics brought clear advantages related to where robotic technology is based. The ease and visibility for peritoneal dissection of the abdominal anterior-superior wall, due to the yaw at the wrist and the optical rotation, combined with tremor filtration, brings greater effectiveness, safety, and accuracy of dissection and suturing of Spiegel's hernia (Figures 3 and 4).…”

Section: Discussionmentioning

confidence: 99%

A feasibility report of a novel and unpublished surgical approach for Spiegel's hernia: reconstruction using robotics-assisted surgery

Pirolla¹,

Fregni²,

Godoy‐Santos³

et al. 2015

AHCT

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Abstract:The Spigelian hernia or Spiegel's hernia is rarely found, with less than 900 cases reported in medical literature. It was first described by J T Klinkosch in 1764 and was named by Adriaan van den Spieghel. The etiology of the hernia may be related to predisposing factors such as weakness of the abdominal wall by the insertion of vascular structures next to the semilunar or arcuate line of Douglas. However, some factors such as obesity, chronic bronchopneumopathies, and pregnancy may be associated with the etiology. Anatomically, most of these hernias occur between the lateral border of the rectus abdominis muscle and the lateral semilunar or Spigelian line that marks the transition of the transversus abdominis muscle to the aponeurosis. Spiegel's hernia can cause serious cases of organ incarceration because its diagnosis is often made at a late stage. Laparoscopic surgery is now an established method for itstreatment. We describe a surgical treatment unprecedented in the literature of Spiegel's hernia with a new procedure: the da Vinci Robotic System. This article also provides in detail the technical advantages and reliability of the robotics-assisted surgical approach on the patient. Robotics-assisted surgical repair for Spiegel's hernia has never been carried out or published previously. The authors show two cases of correction of Spiegel's hernia through surgical robotics, with the use of a mesh-type and double-sided peritoneum suture and the hernia ring suture. Advantages of the robotic approach in relation to laparoscopic technique are highlighted. A systematic review of relevant literature and the history of Spiegel's hernia are reported. The pain score was lower than that reported in pure laparoscopic surgery reports. This may be related to the increased stability of the trocar approach in robotics. It was technically easier to visualize the anterior wall and to suture this site through robotic surgery when compared to the laparoscopic approach. The robotic surgery has proven to be a procedure with significant advantages in terms of intraoperative techniques and postoperative clinical care. However, new cases should be evaluated with a larger follow-up for new conclusions.

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Section: Discussionmentioning

confidence: 99%

A feasibility report of a novel and unpublished surgical approach for Spiegel's hernia: reconstruction using robotics-assisted surgery

Pirolla¹,

Fregni²,

Godoy‐Santos³

et al. 2015

AHCT

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“…10 The advent of laparoscopy has made then conventional approach old fashioned in experienced hands. 11 Spigelian hernia are ideally suited to preperitoneal laparoscopic repair because the defect is more clearly identified in the preperitoneal plane and best results are offered by the extra peritoneal laparoscopic approach as compared to intra-abdominal laparoscopic approach. 12 In our case, patient presented with a chronic spigelian hernia where a standard on-lay meshplasty was done.…”

Section: Discussionmentioning

confidence: 99%

Spigelian hernia: a rare case presentation

Mhatre¹,

Kanake²,

Nandu³

2015

Int Surg J

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“…10 Carter and Mizes performed first intraabdominal laparoscopic repair of spigelian hernia in 1992. 11 Spigelian hernias are ideally suited to preperitoneal laparoscopic repair because the defect in the Spigelian aponeurosis is more clearly identified in the preperitoneal plane.…”

Section: Discussionmentioning

confidence: 99%

Spigelian hernia - an unusual abdominal hernia: a case report and review of literature

Sahoo

Rout

2015

Int J Sci Rep

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Spigelian hernias are rare abdominal wall defects that occur at the semilunar line lateral to the rectus abdominis muscle. They are situated between the muscular layers of the abdominal wall and can be easily overlooked because of abdominal obesity. Generally difficult to diagnose because of their location and vague non-specific symptoms radiographic studies have been beneficial in confirming the diagnosis. The diagnosis has been considerably aided by the introduction of ultrasonography and Computed Tomography (CT). Once the diagnosis is made operative management is indicated due to chances of incarceration. We report a 48 years old patient from the IMS and SUM hospital, Bhubaneswar, Odisha, India who presented with colicky lower abdominal pain associated with a non-tender swelling above and lateral to the left inguinal canal. A diagnosis of Spigelian hernia was made and confirmed on exploration. The hernia was reduced and the defect repaired. His recovery was uneventful.

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Laparoscopic repair of bilateral spigelian and inguinal hernias

Abstract: Spigelian hernias are rare and difficult to diagnose. Treatment has previously been limited to open surgical repair. We report the successful laparoscopic repair of bilateral spigelian and inguinal hernias using mesh.

Cited by 32 publications

References 5 publications

A feasibility report of a novel and unpublished surgical approach for Spiegel's hernia: reconstruction using robotics-assisted surgery

A feasibility report of a novel and unpublished surgical approach for Spiegel's hernia: reconstruction using robotics-assisted surgery

Spigelian hernia: a rare case presentation

Spigelian hernia - an unusual abdominal hernia: a case report and review of literature

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Laparoscopic repair of bilateral spigelian and inguinal hernias

Abstract: Spigelian hernias are rare and difficult to diagnose. Treatment has previously been limited to open surgical repair. We report the successful laparoscopic repair of bilateral spigelian and inguinal hernias using mesh.

Cited by 32 publications

References 5 publications

A feasibility report of a novel and unpublished surgical approach for Spiegel&#39;s hernia: reconstruction using robotics-assisted surgery

A feasibility report of a novel and unpublished surgical approach for Spiegel&#39;s hernia: reconstruction using robotics-assisted surgery

Spigelian hernia: a rare case presentation

Spigelian hernia - an unusual abdominal hernia: a case report and review of literature

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A feasibility report of a novel and unpublished surgical approach for Spiegel's hernia: reconstruction using robotics-assisted surgery

A feasibility report of a novel and unpublished surgical approach for Spiegel's hernia: reconstruction using robotics-assisted surgery