Spigelian hernias: A prospective analysis of baseline parameters and surgical outcome of 34 consecutive patients

被引:25
作者
Malazgirt Z. [1 ]
Topgul K. [1 ]
Sokmen S. [2 ]
Ersin S. [3 ]
Turkeapar G. [4 ]
Gok H. [5 ]
Gonullu N. [6 ]
Paksoy M. [7 ]
Ertem M. [7 ]
机构
[1] Department of Surgery, Ondokuz Mayis University
[2] Department of Surgery, Dokuz Eylul University, Izmir
[3] Department of Surgery, Ege University, Izmir
[4] Department of Surgery, Ankara University, Ankara
[5] Department of Surgery, Vakif Gureba Teaching Hospital, Istanbul
[6] Department of Surgery, Kocaeli University, Izmit, Kocaeli
[7] Department of Surgery, Istanbul University, Istanbul
关键词
Intraperitoneal repair; Laparoscopic repair; Local anesthesia; Mesh repair; Preperitoneal repair; Spigelian hernia;
D O I
10.1007/s10029-006-0103-5
中图分类号
学科分类号
摘要
Most of the papers published on spigelian hernia are either case reports or small retrospective series. In this prospective multicenter study, we aimed to outline the specific features of spigelian hernias and patients' characteristics more clearly. Surgeons enrolled patients to be entered into the database as they diagnosed and treated the hernias at will. The baseline and surgical outcome parameters were noted in each patient. A painful mass was the main presenting complaint in half of 34 patients. Accurate preoperative diagnosis was possible in 31 patients. Open intraperitoneal mesh repair was the preferred technique. The mean hospital stay and time until return to normal daily activities were 4.1 and 15.6 days. Although a rare condition, diagnosis of a spigelian hernia is not difficult once remembered. Its surgical repair seems to cause few complications and is very well tolerated by the patient. © Springer-Verlag 2006.
引用
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页码:326 / 330
页数:4
相关论文
共 29 条
[1]  
Bennett D., Incidence and management of primary abdominal wall hernias: Umbilical, epigastric, and spigelian, Nyhus and Condon's Hernia, pp. 389-413, (2002)
[2]  
Larson D.W., Farley D.R., Spigelian hernias: Repair and outcome for 81 patients, World J Surg, 26, pp. 1277-1281, (2002)
[3]  
Moreno-Egea A., Aguayo J.L., Girela E., Treatment of spigelian hernia using totally extraperitoneal laparoscopy ambulatory surgery, Surg Endosc, 16, (2002)
[4]  
Malazgirt Z., Dervisoglu A., Polat C., Guneren E., Guven H., Akpolat T., Preperitoneal mesh repair of spigelian hernias under local anesthesia: Description and clinical evaluation of a new technique, Hernia, 7, pp. 202-205, (2003)
[5]  
Vos D.I., Scheltinga M.R.M., Incidence and outcome of surgical repair of spigelian hernia, Br J Surg, 91, pp. 640-644, (2004)
[6]  
Klimopoulos S., Kounoudes C., Validakis A., Galanis G., Low spigelian hernias: Experience of 26 consecutive cases in 24 patients, Eur J Surg, 167, pp. 631-633, (2001)
[7]  
O'Dwyer P.J., A case of a spigelian hernia at an unusually high anatomical location, J R Coll Surg Edinb, 45, pp. 196-197, (2000)
[8]  
Spangen L., Spigelian hernia, Nyhus and Condon's Hernia, pp. 381-392, (1995)
[9]  
White J.J., Concomitant spigelian and inguinal hernias in a neonate, J Pediatr Surg, 37, pp. 659-660, (2002)
[10]  
Spangen L., Spigelian hernia, World J Surg, 13, pp. 573-580, (1989)