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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Personal experience and review of the literature Hernias de Spiegel. 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 carried out a retrospective review of patients operated on from to at our Hospital.

We have used intra-abdominal modality in all cases and techica do not have experience with totally extraperitoneal technique, although is the recommended by most tecnic. 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 Open approach follows the usual principles of any hernia repair.

Mean hospital stay was 2. Department of General Surgery I. Two treatment modalities can be used, transperitoneal so called intra-abdominal and epigaxtrica.

InCarter herniaa Mizes performed the first intra-abdominal laparoscopic correction 20 and inSalvador et al published the first one in Spain However it was Klinkosch in who first described a spontaneous lateral ventral hernia at the level of Spieghel’s semilunar line 4. Cir Esp ; 79 3: The mean age was 70 years range years.

Hernias de Spiegel: Nuestra experiencia y revisión de la literatura

We have tecnida 39 patients, 25 female and 14 male, with a mean age of 70 years. Despite all this help that imaging techniques offer there is still a small percentage of patients requiring emergency surgery: 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.


Spigelian hernia is an uncommon variety of abdominal wall defect. During the postoperative care one patient had a wound infection and another one had a paralytic ileus.

An analysis of cases. 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. Patients and methods We carried out a retrospective review of patients operated on from to at our Hospital. Between January and December39 patients underwent surgery for Spigelian hernia. Laparoscopy approach allowed us to explore abdominal cavity and rule out any damage to the bowel loops that could have passed unnoticed.

The presence of any of these situations must be regarded as a starting point for correctly orienting clinical history and should lead to the diagnosis.

There are no significant differences in literature about their right or left location and there aren’t in our series either. There was neither serious morbidity nor mortality.

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A high index of suspicion and a thorough physical examination is needed to make a correct diagnosis, although in doubtful cases it is tevnica to perform a sonography or better a tomography.

Symptoms can vary and mostly are unspecific so that a delayed diagnosis is frequent. The different options include primary closure or mesh repair in cases of atrophic aponeurosis, wide defect or recurrences. Apart from the type of surgical approach exists discussion about epigqstrica need of a prosthetic mesh. All of our patients had symptomatic SH.

That special location of SH contributes to hinder the diagnosis. Modality of laparoscopic treatment is still on discussion.

La morbilidad postoperatoria es escasa. Carter JE, Mizes C.

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. Mesh-free laparoscopic spigelian hernia repair.


Arch Surg ; Tecniva of Spigelian hernia is basically clinic.

Tècnica Quirurgica de Pared Abdominal by Krizz Luque Mora on Prezi

Twenty five patients When the hernia sac contents the bowel the patient can present with nausea, vomiting or altered bowel rhythm. In spite of this, laparoscopy in not always available for emergency surgery and also requires a learning curve. Br J Surg ; 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 epitastrica occult hernias.

Diagnosis and treatment of Spigelian hernia.

In two patients a bowel resection was needed because of incarceration although the hernia sac content found was usually preperitoneal fat or omentum. The authors’ own experience and a review of the literature. Incidence and outcome of surgical repair of spigelian hernia.

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 Open hernioplasty followed by laparoscopic hernioplasty are the most frequent techniques performed.

Laparoscopy is becoming more and more frequent and its advantages have already been demonstrated. Other common symptoms are nausea, vomiting and altered bowel rhythm although all these vary depending on hernia sac content.

We present our series of patients with Spigelian hernia and a literature review. Preperitoneal mesh repair of spigelian hernias under local anestesia: Quirurgifa date Spanish tecnicz on this spigastrica are short series of cases, being the largest one published by Moreno-Egea et al in with 27 patients 5.

Am J Obstet Gynecol ;