HERNIAS DE LA PARED ABDOMINAL ZONAS DEBILES DE LA PARED ABDOMINAL 1. Hernia epigástrica. 2. Hernia umbilical. 3. Hernia. Objective: Spigelian hernia is an uncommon abdominal wall defect. La técnica quirúrgica dependerá de las características del paciente, la hernia y la. H. epigástrica. . TÉCNICA LAPAROSCÓPICA• visualizar el defecto de la hernia y la anatomía circundante con claridad y ampliación.
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There was neither serious morbidity nor mortality.
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As regards to postoperative morbidity literature describes minimal and mild complications such as wound infections, paralytic ileus or haematomas. After that laparoscopic approach has been widely described in literature. The Spigelian hernia SH takes its name from the French anatomist Adriaan van Spieghel, who described the semilunar line for the first time in Am Surg ; 74 8: The most frequent symptom is pain and the presence of a lump.
J R Coll Surg Edinb ; Spigelian hernia is an uncommon variety of abdominal wall defect. The semilunar line extends from the costal margin to the pubic spine and it shows transitional area from muscle to aponeurosis of the transverse muscle of the abdomen.
The hernia location is unknown in 5 of our patients as the medical history didn’t include this information, which is a frequent limitation of retrospective studies. All of our patients had symptomatic SH.
Hernias de Spiegel: Nuestra experiencia y revisión de la literatura
Rev Esp Enferm Dig ; 97 5: However it could be difficult quirurgkca identify them during the physical examination as the hernia sac is located beneath the aponeurosis of the external oblique. Twenty five patients The symptoms can vary and are non specific. Pain often can be provoked or aggravated by contraction of abdominal muscles or other maneuvers that increase the intra abdominal pressure 7and this can help us orienting the correct diagnosis.
Spigelian hernia appears between the fascia of the anterior rectus, internal oblique and transverse abdominal muscles. Minerva Chir ; La morbilidad postoperatoria es escasa.
CT scan is the recommended investigational imaging study, moreover if laparoscopic approach is going to be employed so that any hernia sac content can be properly identified 17,6. The different options include primary closure or mesh repair in cases of atrophic aponeurosis, wide defect or recurrences.
HERNIAS DE LA PARED ABDOMINAL by valeria rodriguez on Prezi
Laparoscopic repair of spigelian hernia: Carter JE, Mizes C. Spigelian hernias have a multidisciplinary interest and their diagnosis involves various specialities such us surgeons, radiologists and in some instances internists and gastroenterologists when the SP presents as abdominal pain syndromes.
Ultrasonography can establish the diagnosis but provides less specificity than CT scan as has quite false negatives in obesity patients. Postoperative morbidity is very low. That special location of SH contributes to hinder the diagnosis. Laparoscopic diagnosis and repair of spigelian hernia: Some authors obtain without mesh as good results as with it, and they currently recommend mesh-free repair, either for conventional repair like Hsieh 23 or for laparoscopy repair like Bittner Ann Surg ; 6: Diagnosis and management of Spigelian hernia: Mean hospital stay was 2.
As other authors, we consider open surgery 6 as the technique of choice when incarceration is present although we have performed a laparoscopy approach in a patient who underwent an emergency surgery.
Rev Esp Enferm Dig ; Personal experience and review of the literature. Most of SH are situated underneath the external wuirurgica muscle, between the different sheaths of abdominal wall, and therefore, SH are also called interstitial, intraparietal or occult hernias. The second modality of endoscopic treatment is the extraperitoneal approach that offers the advantage of avoiding general anesthesia so that can be performed easily as an outpatient procedure and also avoids the possible added risk of visceral lesions as demonstrates the only prospective quirurgiac controlled trial comparing conventional versus laparoscopic management of Spigelian hernia Am J Obstet Gynecol ; A very important factor to be aware of during physical examination is the difference between lower SH and inguinal hernias.
Incidence and outcome of surgical repair of spigelian hernia. Diagnosis of Spigelian hernia is basically clinic.
Laparoscopy approach allowed us to explore abdominal cavity and rule out any damage to the bowel loops that could have passed unnoticed. Vos D, Scheltinga M. Clinical diagnosis does require a high index of suspicion.
The quiruggica parameters were as follows: The authors’ own experience and a review of the literature. An analysis of cases.
Alicia Ruiz de la Hermosa. Cir Esp ; We carried out a retrospective review of patients operated on from to Modality of laparoscopic treatment is still on discussion. Other common symptoms are nausea, vomiting and altered bowel rhythm although all these vary depending on hernia sac content. Surgical technique depends on patient characteristics, type of hernia and surgeon experience.
That case presented as an incarcerated Spigelian hernia but during ultrasonography exploration it got reduce. We present the results of our own series and a literature review.