Elective laparoscopic totally extraperitoneal repair for Spigelian hernia: A case series of four patients

Law, Tsz Ting; Ng, Ka Kin; Ng, Lily; Wong, Kin Yuen

doi:10.1111/ases.12454

Cited by 9 publications

(31 citation statements)

References 17 publications

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“…Las dos cirugías se realizaron de manera exitosa, sin complicaciones transoperatorias, posoperatorias ni en su control posterior. Con respecto a la técnica, se vio facilitada de manera sustancial tanto por el tipo de malla como por el aplicador articulado, el cual nos permitió alcanzar de manera más fácil un adecuado ángulo de colocación de los tacks, disminuyendo el tiempo quirúrgico a un promedio de 39 minutos, en contraste con lo reportado para la TAP (45 minutos) 16 y para la TEP (59 minutos) 5 . Ambos pacientes presentaron una rápida recuperación, con dolor posquirúrgico mínimo, buen resultado estético y sin complicaciones reportadas.…”

Section: Discussionunclassified

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Reparación laparoscópica de hernia de Spiegel con colocación de malla compuesta intraperitoneal y sistema de fijación articulado. Reporte de dos casos

Dzib-Calan

Ortiz-Reyes

Morales-Pérez

et al. 2019

CIRU

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La hernia de Spiegel es un tipo infrecuente de defecto de la pared abdominal. Tradicionalmente se realizaba su reparación con técnica abierta, pero en la actualidad contamos con múltiples técnicas laparoscópicas con uso de material protésico. Caso clínico: Presentamos dos casos de hernia de Spiegel, un paciente programado de manera electiva y otro de urgencia por hernia incarcerada, ambos diagnosticados de manera prequirúrgica con tomografía abdominal. Discusión: Los dos pacientes fueron intervenidos de manera exitosa por vía laparoscópica con técnica de malla intraperitoneal utilizando malla compuesta y sistema de fijación articulado. Conclusiones: Esta técnica se muestra como una opción recomendable por su facilidad de realización y buenos resultados, tanto para cirugías electivas como para cirugías de urgencia.

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Section: Discussionunclassified

“…Dentro de los estudios de imagen, el ultrasonido es económico y de gran precisión en el diagnóstico. La tomografía nos ayuda a establecer el diagnóstico con alta sensibilidad y especificidad, pero con las desventajas de su disponibilidad y costo 5 .…”

Section: Introductionunclassified

Reparación laparoscópica de hernia de Spiegel con colocación de malla compuesta intraperitoneal y sistema de fijación articulado. Reporte de dos casos

Dzib-Calan

Ortiz-Reyes

Morales-Pérez

et al. 2019

CIRU

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“…Two 5‐mm working ports were inserted at midline as described in our previous study (Figure 1). 4 We used sharp dissection to develop the preperitoneal plane and identified the pubic bone and the inferior epigastric vessels. To extend the preperitoneal space, the posterior rectus sheath was cut with monopolar scissors at the semilunar line in a cranial direction from the level of the arcuate line.…”

Section: Methodsmentioning

confidence: 99%

Spigelian hernia: Our total extraperitoneal approach and a systematic review of the literature

Cui

Law

et al. 2021

Asian J Endoscop Surgery

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Introduction Spigelian hernia is a rare lateral ventral hernia traditionally repaired through open incision with extensive dissection. Three laparoscopic techniques have been reported in the literature: intraperitoneal onlay mesh (IPOM), transabdominal preperitoneal (TAPP), and total extraperitoneal (TEP). TEP is less popular than the other approaches. We evaluated TEP's safety and effectiveness and compared different laparoscopic techniques. Methods All patients with Spigelian hernia who had undergone extended TEP (eTEP) repair with mesh in our center from January 2007 to February 2020 were studied. A three‐port technique with a preperitoneal space created by telescope at the midline was adopted. A systematic review on laparoscopic mesh repair was performed by searching for “Spigelian hernia” and “laparoscopic” from 1999 to 2019 in the MEDLINE database. Results Seven patients underwent eTEP repair for Spigelian hernia. Five presented with abdominal mass and underwent preoperative imaging. Two were diagnosed incidentally during TEP for inguinal hernia. The mean operative duration was 65 minutes (range, 40‐93 minutes). There were no open conversions or intraoperative complications. The mean length of hospital stay was 1.4 days (range, 1‐3 days). The mean follow‐up period was 44.3 months. One patient developed seroma. There was no recurrence or chronic pain. We identified 197 laparoscopic mesh repairs reported in 41 articles. IPOM (n = 91) was the most popular approach, followed by TAPP (n = 70) and TEP (n = 36). Laparoscopic mesh repair of Spigelian hernia is safe and offers excellent outcomes. Conclusion We found the eTEP approach safe and effective for Spigelian hernia repair. IPOM, TAPP, and TEP are comparable.

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“…Young patients may have only a small hernia defect with pain, or some may experience swelling with deep palpation. If a palpable mass is present, it may be reduced or not reduced [12]. Typically, the fascia defect is smaller than the sac, and irreductibility is more common, as it is described as a T-or fungus-shaped dead space between internal oblique and external oblique.…”

Section: Symptomatology and Clinical Presentationmentioning

confidence: 99%

Laparoscopic Rare Abdominal Hernia Treatment

Akın¹,

Mantoğlu²,

Altıntoprak³

et al. 2019

Hernia Surgery [Working Title]

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Diaphragm and abdominal wall hernias are rare, and they may be congenital or acquired. Spiegel hernia incidence is between 0.1 and 2%. Morgagni hernia is comprising only 2-3% of all diaphragmatic hernias. Most Spiegel and Morgagni hernias are diagnosed late because of their non-specific symptoms and asymptomatic clinical presentation. The major symptoms are abdominal pain, vomiting, and dyspnea. Computed tomography (CT) shows the hernia sac content, strangulation or incarceration in the content, and detailed anatomical information about surrounding tissue. Surgery is the main treatment option except patients who have severe comorbidity. Spiegel hernia surgery can be performed open or laparoscopic. Intraperitoneal onlay mesh (IPOM), total extraperitoneal procedure (TEP), transabdominal preperitoneal (TAPP) procedure, or partial transabdominal laparoscopic methods are minimal invasive surgery options. In the repair of Morgagni hernia, surgical options may be laparoscopy, laparotomy, thoracotomy, or thoracoscopy.

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Elective laparoscopic totally extraperitoneal repair for Spigelian hernia: A case series of four patients

Abstract: Laparoscopic repair for SH is preferred over the open approach as it is associated with a low morbidity rate and a short hospital stay. In our experience, TEP technique is safe and effective in laparoscopic SH repair.

Cited by 9 publications

References 17 publications

Reparación laparoscópica de hernia de Spiegel con colocación de malla compuesta intraperitoneal y sistema de fijación articulado. Reporte de dos casos

Reparación laparoscópica de hernia de Spiegel con colocación de malla compuesta intraperitoneal y sistema de fijación articulado. Reporte de dos casos

Spigelian hernia: Our total extraperitoneal approach and a systematic review of the literature

Laparoscopic Rare Abdominal Hernia Treatment

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