Spigelian hernia: current approaches to surgical treatment-a review.
Hernia
; 26(6): 1427-1433, 2022 12.
Article
en En
| MEDLINE
| ID: mdl-34665343
ABSTRACT
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.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Laparoscopía
/
Hernia Ventral
Tipo de estudio:
Etiology_studies
/
Guideline
Límite:
Humans
Idioma:
En
Revista:
Hernia
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2022
Tipo del documento:
Article
País de afiliación:
Suiza