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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The most frequent symptom is pain and the presence of a lump.
Patients and methods We carried out a retrospective review of patients operated on from to at our Hospital. Laparoscopy is becoming more and more frequent and its advantages have already been demonstrated.
Spigelian hernia is an uncommon abdominal wall defect. The authors’ own experience and a review of the literature. InCarter y Mizes performed the first intra-abdominal laparoscopic correction 20 and inSalvador et al published the first one in Spain Arch Surg ; It is also called spontaneous lateral ventral hernia, hernia of semilunar line, hernia of the conjoint tendon or interstitial ventral hernia.
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. Lower SH are below the level of the inferior epigastric vessels and that can lead to mistake a SH for an inguinal hernia.
Most of these hernias occur distal to the umbilicus, within the spigelian hernia belt or Spangen area which is a transverse band between the line joining both anterior superior iliac spines and a parallel line 6 cm cranial at the level of the umbilicus 1,2.
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. 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.
We do not completely agree with this opinion as we think a prosthetic material should not be implanted at the same time that any epigaxtrica surgical procedure with risk of contamination.
Tècnica Quirurgica de Pared Abdominal by Krizz Luque Mora on Prezi
J Comput Assist Tomogr ; Am J Obstet Gynecol ; Open approach follows the usual principles of any hernia repair. All of our patients had symptomatic SH. Ruiz de la Hermosa, I. Despite all this help that imaging techniques offer there is still epigastrics small percentage of patients requiring emergency surgery: After this report only isolated cases, congenital SH associated 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.
We carried out a retrospective review of patients operated on from to at our Hospital. As regards to postoperative morbidity literature describes minimal and mild complications such as wound infections, paralytic ileus or haematomas. Ugeskr Laeger ; Introduction Spigelian hernia is an uncommon variety of abdominal wall defect.
That case presented as an incarcerated Spigelian hernia but during ultrasonography exploration it got reduce. The gold standard is TC in doubtful cases. Laparoscopy approach allowed us to explore abdominal cavity and rule out any damage to the bowel loops that could have passed unnoticed. Apart from the type of surgical approach exists discussion about the need of a prosthetic mesh.
In spite of this, jernia in not always available for emergency surgery and also requires a learning curve. The symptoms can vary and are non specific.
Mesh-free laparoscopic spigelian hernia repair. However it epigashrica Klinkosch in who first described a spontaneous lateral ventral hernia at the level of Spieghel’s semilunar line 4. A very important factor to be aware of during physical examination is the difference between lower SH and inguinal hernias.
An important percentage of patients will present with an acute complication of the Spigelian hernia as their first symptom. We carried out a retrospective review of patients operated on from to The assessed parameters were as follows: Spigelian hernia in Spain.
Results Between January and December39 patients underwent surgery for Spigelian hernia. Symptoms can vary and mostly are unspecific so that a delayed diagnosis is frequent. During the postoperative care one patient had a wound infection and another one had a paralytic ileus.
The second modality of endoscopic treatment is the extraperitoneal approach that offers the advantage of avoiding general anesthesia so that can be performed easily epiyastrica 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 Sometimes the way of presentation is a complication that requires epogastrica surgery.
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Br J Surg ; Only a small percentage of SH 0. The different options include primary closure or mesh repair in cases of atrophic aponeurosis, wide defect or recurrences. A delay in the diagnosis leads to a high rate of complications herniia the need of emergency surgery in many cases 3.
After that laparoscopic approach has been widely described in literature. Between January and December39 patients underwent surgery for Spigelian hernia.