Spigelian Hernias: Repair and Outcome for 81 Patients

@article{Larson2002SpigelianHR,
  title={Spigelian Hernias: Repair and Outcome for 81 Patients 
},
  author={David W. Larson and David R. Farley},
  journal={World Journal of Surgery},
  year={2002},
  volume={26},
  pages={1277-1281}
}
Abstract Spigelian hernia is a rare partial abdominal wall defect. The frequent lack of physical findings along with vague associated abdominal complaints makes the diagnosis elusive. A retrospective review of Mayo Clinic patients was performed to find all patients who had undergone surgical repair of a Spigelian hernia from 1976 to 1997. Patients were scrutinized for presentation, work-up, therapy, and outcome. The goal of this study was to obtain long-term outcome. The study was set in a… 
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TLDR
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TLDR
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The aim of this study was to report the outcomes of open treatment of eight rare cases of Spigelian hernia and to evaluate the experiences in managing this condition.
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TLDR
Spigelian Hernia is a rare entity with a wide clinical spectrum and difficulties in preoperative diagnosis, once the diagnosis of SH is established, a surgical treatment is indicated because of the high complication risk.
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TLDR
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Laparoscopic Spigelian Hernia Repair: The Scroll Technique
TLDR
The scroll technique for laparoscopic repair of spigelian hernia is simple and feasible, it minimizes intra-corporeal mesh manipulation, facilitates mesh fixation to the anterior abdominal wall, and maintains a precise orientation of the mesh in relation to the defect.
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TLDR
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.
Spigelian hernia repair as a day-case procedure
TLDR
The elective spigelian hernia repair as an ambulatory procedure can be successfully repaired under local anesthesia as a day-case procedure and the “open preperitoneal flat mesh technique” provides excellent results under these conditions.
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References

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TLDR
A personal series of 19 patients (8 males), mean age 62.4 years, with a spigelian hernia [right-sided in eight patients (42.1%)] is presented, finding that treatment was frequently delayed and Predisposing factors were present.
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TLDR
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TLDR
By using ultrasonography, a rapid, accurate, and elegant diagnosis of spigelian hernia can be made, and this rapid and effective diagnostic modality must be widely adopted by surgeons as it can be of great benefit in evaluating the patient with vague, nonspecific abdominal complaints in whom an SH is suspected.
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TLDR
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TLDR
A new modality consisting of the tension-free occlusion of the hernia ring with a preshaped polypropylene umbrella-type plug is used which simplifies the repair and has the advantage of producing minimal postoperative pain and disability.
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TLDR
All patients presented with abdominal mass and vague symptoms and the CT evaluation allowed preoperative diagnosis ofigelian hernias, which are uncommon abdominal wallHernias with subtle clinical findings.
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TLDR
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TLDR
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