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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Cir Esp ; 79 3: Open approach follows the usual principles of any hernia repair.
Personal experience and review of the literature Hernias de Spiegel. Rev Cubana Cir ; 44 4. However it was Klinkosch in who first described a spontaneous lateral ventral hernia at the level of Spieghel’s semilunar line 4. A review of literature and our experience.
Hernias de Spiegel: Nuestra experiencia y revisión de la literatura
Ann Surg ; 6: Despite all this help that imaging techniques offer there is still a small percentage of patients requiring emergency surgery: Only a small percentage of SH 0. The most frequent symptom is pain and the presence of a lump. To conclude we stress that diagnosis and treatment of Spigelian hernias is still a controversial matter, basically for the varied and uncommon presentation.
We carried out a retrospective review of patients operated on from to Spigelian hernia is an uncommon abdominal wall defect. InCarter y Mizes performed the first intra-abdominal laparoscopic correction 20 and inSalvador et al published the first one in Spain To date Spanish reports on this pathology are short series of cases, being the largest one published by Moreno-Egea et al in with 27 patients 5.
It is also called spontaneous lateral ventral hernia, hernia of semilunar line, hernia of the conjoint tendon or interstitial ventral hernia. We carried out a retrospective review of patients operated on from to at our Hospital. Nevarez Noboa and A.
Most of SH are situated underneath the external oblique muscle, between the different sheaths of abdominal wall, and therefore, SH are also called interstitial, intraparietal or occult hernias. Generally speaking, laparoscopic approach results in less infection rate, quicker incorporation to activities of daily living, less postoperative pain and specially avoids opening the external oblique aponeurosis and therefore a risk reduction of recurrence 1.
Tècnica Quirurgica de Pared Abdominal by Krizz Luque Mora on Prezi
We present the results of our own series and a literature review. The symptoms can vary and are non specific. Sometimes the way of presentation is a complication that requires emergency surgery.
Two treatment modalities can be used, transperitoneal so called intra-abdominal and extraperitoneal. Minerva Chir ; Rev Esp Enferm Dig ; 97 5: We have treated 39 patients, tednica female and 14 male, with a mean age of 70 years. The treatment of Spigelian hernia is surgical and can be performed either by classic open or laparoscopic technique.
Ultrasonography can establish the diagnosis but provides less specificity than CT scan as has quite false negatives epigastricx obesity patients.
J Comput Assist Tomogr ; Between January and December39 patients underwent surgery for Spigelian hernia.
Apart from the type epigastricq surgical approach exists discussion about the need of a prosthetic mesh. The second symptom in frequency in our patients is the presence of a lump, but as mentioned above, due to anatomical characteristics of SH, the lump may be not palpable as shown by Moles et al who refer the There was neither serious morbidity nor mortality.
The first one allows to explore the contralateral side as well as the abdominal cavity and for some authors is the recommended method when there is another process requiring associated surgery because can be performed in the same intervention epigasttrica.
However it could be difficult to identify them during the physical examination as the hernia sac is located beneath the aponeurosis of the external oblique.
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An important percentage of patients will present with an acute complication of the Spigelian hernia as their first symptom.
After this report only isolated cases, congenital SH epiagstrica with cryptorchidism or the Satorras-Fioretti review about abdominal wall hernias of unusual presentation which included 12 patients with Spigelian hernia 6 have been published. 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 randomized controlled trial comparing conventional versus laparoscopic management of Spigelian hernia When the hernia sac contents the bowel the patient can present with nausea, vomiting or altered bowel rhythm.
Anyway the number of patients of these studies is very small to find statistical differences.
Diagnosis and treatment of Spigelian hernia. The hernia appears to peak in the fifth decade of life and is more common in women. Tcenica morbidity is very low. Incidence and outcome of surgical repair of spigelian hernia. Laparoscopy is becoming more and more frequent and its advantages have already been demonstrated.