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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2009, Number 3

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An Med Asoc Med Hosp ABC 2009; 54 (3)

Laparoscopic treatment of Spiegel's hernia

Murillo ZA, Kleinfinger MS, Robles CJ, Erazo FMA, Vázquez SJH

Language: Spanish
References: 17
Page: 166-169
PDF size: 90.86 Kb.


ABSTRACT

Introduction: The Spigelian hernia is formed by a protrusion of the peritoneal sac and abdominal viscera or preperitoneal fat through the Spigelian aponeurosis. It’s either acquired or congenital, and consists of 0.12%-2% of all abdominal wall hernias. It is most frequent in the 6th or 7th decade of life. The treatment is surgical, and is either conventional or laparoscopic. The laparoscopic treatment is associated with a low recurrence rate. Case report: 67 year old female with surgical history of laparoscopic fundoplication and appendectomy. She presents with abdominal pain in right lower quadrant of 5 days duration, which is exacerbated upon effort. On physical examination there is a 3 cm para-rectal mass, not reducible that increases in size with Valsalva maneuver. A CT scan was performed where a Spigelian hernia was observed. The defect was corrected laparoscopically with mesh. She was discharged on post op day 1. Discussion: The Spigelian hernia is rare, and its clinical presentation is varied. Because of this the clinician must have high clinical suspicion to make the diagnosis. Because it is uncommon and difficult to diagnose, we feel that the laparoscopic approach is an important part of the evaluation and treatment.


REFERENCES

  1. Richards A. Spigelian hernias. Operative Techniques in General Surgery 2004; 6 (3): 228-239.

  2. Cervantes J, Rojas G, Menéndez A, Cicero A, Vidal P. Hernia de Spiegel. An Med Asoc Med Hosp ABC 2007; 52 (2): 65-68.

  3. Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P. Spigelian Hernia: Surgical Anatomy, Embryology and Technique of repair. Am Surg 2006; 72 (1): 42-72.

  4. Sánchez I, Deysine M. Spiegelian and other uncommon hernia repairs. Surg Clin N Am 2003; 83: 1235-1253.

  5. Campanelli G, Pettinari D, Nicolosi FM, Contessini E. Spigelian hernia. Hernia 2005; 9: 3-5.

  6. Komura J, Hiromichi Y, Masafumi U, Shima I. Pediatric Spigelian hernia: Reports of three cases. Surg Today 1994: 24; 1081-1084.

  7. Spangen L. Spigelian Hernia. World J Surg 1989; 13: 573-580.

  8. Fernández L, Roig J, Monzón A. Hernia de Spiegel: a propósito de siete casos. Rev Esp Enf Dig 1989; 75: 267-270.

  9. Cerdán R, Cantín S, Barranco JI, Bernal J, Duque MV. Hernia de Spiegel. Revisión a propósito de 8 casos. Rev Cub Cir 2005; 44 (4).

  10. Moles L, Docobo F, Mena J, Quinta de Frutos R. Hernia de Spiegel en España. Análisis de 162 casos. Rev Esp Enf Dig 2005; 97 (5): 338-347.

  11. Larson D, Farley D. Spigelian hernias: Repair and outcome for 81 patients. World J Surg 2002; 26: 1277-1281.

  12. Celdrán A, Señaris J, Mañas J, Frieyro O. The open mesh repair of Spigelian hernia. Am J Surg 2007; 193: 111-113.

  13. Moreno-Egea A, Carrasco L, Girela E, Martin JG, Aguayo JL, Canteras M. Open vs laparoscopic repair of Spigelian hernia, a prospective randomized trial. Arch Surg 2002; 137: 1266-1268.

  14. Gedebou T, Neubauer W. Laparoscopic repair of bilateral spigelian and inguinal hernias. Surgical Endoscopy 1998; 12: 1424-1425.

  15. Moreno-Egea A, Campillo-Soto A, Girela-Baena E, Torralba-Martínez JA, Corral de la Calle M, Aguayo-Albasini JL. Hernia traumática de Spiegel: reparación laparoscópica extraperitoneal electiva. Cir Esp 2006; 79 (1): 61-63.

  16. Moreno-Egea A, Aguayo-Albasini JL, Girela E. Treatment of Spigelian hernia using totally Extraperitoneal laparoscopy ambulatory surgery. Surg Endosc 2002; 16 (12): 1806-1811.

  17. Miller R, Lifschitz O, Mayor E. Incarcerated Spigelian hernia mimicking obstructing colon carcinoma. Hernia 2008; 12: 87-89.




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