Laparoscopic management of Spigelian hernias

Spigelian hernias, also known as spontaneous lateral ventral hernias, are rare primary ventral hernias arising in the Spigelian, or semilunar, line located at the lateral border of recti. Because of its varied presentation, clinical examination is often inconclusive. Traditional repair of such herni...

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Veröffentlicht in:Asian journal of endoscopic surgery 2013-08, Vol.6 (3), p.253-256
Hauptverfasser: Rath, Alok, Bhatia, Parveen, Kalhan, Sudhir, John, Suviraj, Khetan, Mukund, Bindal, Vivek, Ali, Asfar, Singh, Rahul, Wadhera, Sushant, Bansal, Nikunj
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container_end_page 256
container_issue 3
container_start_page 253
container_title Asian journal of endoscopic surgery
container_volume 6
creator Rath, Alok
Bhatia, Parveen
Kalhan, Sudhir
John, Suviraj
Khetan, Mukund
Bindal, Vivek
Ali, Asfar
Singh, Rahul
Wadhera, Sushant
Bansal, Nikunj
description Spigelian hernias, also known as spontaneous lateral ventral hernias, are rare primary ventral hernias arising in the Spigelian, or semilunar, line located at the lateral border of recti. Because of its varied presentation, clinical examination is often inconclusive. Traditional repair of such hernias use the open approach. Herein we report on three cases of Spigelian hernias. All were diagnosed and treated laparoscopically at our institution between March 2011 and June 2012. Multiple surgeons performed the repairs using the laparoscopic transabdominal preperitoneal technique of mesh reinforcement and reperitonization. There were no perioperative or postoperative complications. All three were discharged 1 day postoperatively. A complete resolution of preoperative symptoms was observed at follow‐up at 1 week, 1 month and 6 months. Laparoscopic transabdominal preperitoneal repair of Spigelian hernia is safe, easy, and feasible for experienced laparoscopic surgeons.
doi_str_mv 10.1111/ases.12026
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subjects Female
Hernia, Ventral - etiology
Hernia, Ventral - pathology
Hernia, Ventral - surgery
Humans
Laparoscopic
Laparoscopy
Male
Middle Aged
Spigelian
transabdominal preperitoneal repair
title Laparoscopic management of Spigelian hernias
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