Hernies de Spiegel

Noomene, Rabii; Bouhafa, Ahmed; Maamer, Anis Ben; Haoues, Noomen; Oueslati, A.; Cherif, Abderraouf

doi:10.1016/j.lpm.2013.06.029

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…O primeiro passo é fazer uma incisão na aponeurose do músculo oblíquo externo. 5 A cirurgia pode ser realizada tanto por técnica aberta quanto por laparoscopia. Nos procedimentos cirúrgicos realizados por vídeo a tela pode ser colocada tanto intraperitonealmente quanto extraperitonealmente após a criação de um retalho peritoneal por abordagem transabdominal.…”

Section: Discussionunclassified

Hérnia de Spiegel: relato de caso e revisão não sistemática de literatura

Torres,

Goulart

2024

Braz. J. Hea. Rev.

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Introdução: A Hérnia de Spiegel (HS) é uma falha na parede abdominal através da da aponeurose spigeliana, entre a linha semilunar e a borda lateral do músculo reto do abdome, logo abaixo da linha arqueada de Douglas. Objetivo: Relato de Caso de um paciente masculino com Hérnia de Spiegel e Revisão não Sistemática de Literatura sobre a patologia. Metodologia: Revisão de Prontuário Médico e busca de artigos relacionados ao tema em banco de dados. Discussão: A HS pode se manifestar clinicamente de muitas maneiras diferentes, sendo que os sintomas frequentemente incluem dor abdominal intermitente ou constante na região do abaulamento em parede abdominal. A cirurgia pode ser realizada tanto por técnica aberta quanto por laparoscopia. Nos procedimentos cirúrgicos realizados por vídeo, a tela pode ser colocada tanto em posição intraperitoneal, quanto extraperitoneal, após a criação de um retalho peritoneal por abordagem transabdominal. Conclusão: Assim que diagnosticada, a recomendação é que a cirurgia seja feita, com preferência pela técnica laparoscópica que apresenta menos complicações pós operatórias e menor tempo internação.

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Section: Discussionunclassified

Hérnia de Spiegel: relato de caso e revisão não sistemática de literatura

Torres,

Goulart

2024

Braz. J. Hea. Rev.

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“…The use of synthetic mesh is also discussed for patients with large defects. 13 Immunosuppressive drugs, urgent repair, and postoperative surgical site infection are predictive to mesh infection. 14 In our patient, we decided not to use a mesh for repairing the defect for the following reasons: the urgent character of the operation, the contamination of the surgical site by drainage of the abscess, the history of the patient who is suffering from chronic kidney disease and under hemodialysis, and finally the small defect.…”

Section: Discussionmentioning

confidence: 99%

Peri-appendicular Abscess in a Spigelian Hernia

et al. 2022

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Background Spigelian hernias are a rare type of lateral ventral abdominal hernia and their content can include any of the intra-abdominal organs. Many cases have described the presence of a variety of abdominal organs in Spigelian hernias, but only few cases report the presence of an incarcerated appendicitis. Imaging is an important step in the diagnosis to avoid the lack of knowledge in such cases. Surgical treatment can be through open or laparoscopic approach, with or without using a mesh according to the size of the defect. Case Report We report a case of an 82-year-old patient who presented with an acute appendicitis with peri-appendicular abscess strangulated in a right Spigelian hernia. The patient was successfully treated by a laparoscopic appendectomy, a surgical drainage of the abscess, and direct muscle approximation without using of mesh due to inflammation. Conclusion Spigelian hernias with acute appendicitis in their content are a very rare condition. Clinical diagnosis is usually difficult and challenging and computed tomography scan is the imaging modality of choice. The treatment is surgical.

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“…In the largest series published to date, up to 20% of diagnosis was confirmed by imaging method, due to unclear physical examination [10]. Several studies suggest that abdominal wall ultrasonography is a conclusive imaging method in SpH, with a sensitivity of 83-90% [24][25][26]. The benefit of CT scan imaging lies in the possibility to visualise the hernia content supplementary to the visualization of the hernia defect (Fig.…”

Section: Diagnostic Workupmentioning

confidence: 99%

Spigelian hernia: current approaches to surgical treatment—a review

Hanzalova

Schäfer

Demartines

et al. 2021

Hernia

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Background Spigelian hernias (SpH) belong to the group of eponymous abdominal wall hernias. Major reasons for diagnostic difficulties are its low incidence reaching maximum 2% of abdominal wall hernias, a specific anatomical localization with intact external oblique aponeurosis covering the hernia sac and non-constant clinical presentation. Methods A literature review was completed to summarize current knowledge on surgical treatment options and results. Results SpH presents a high incarceration risk and therefore should be operated upon even if the patient is asymptomatic. 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. Overall recurrence rate is very low. Conclusion All diagnosed SpH should be planned for elective operation to prevent strangulated hernia and, therefore emergency surgery. Both open and laparoscopic SpH treatment can be safely performed, depending on surgeon’s experience. In most cases, a mesh repair is generally advised.

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Hernies de Spiegel

Cited by 4 publications

References 26 publications

Hérnia de Spiegel: relato de caso e revisão não sistemática de literatura

Hérnia de Spiegel: relato de caso e revisão não sistemática de literatura

Peri-appendicular Abscess in a Spigelian Hernia

Spigelian hernia: current approaches to surgical treatment—a review

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