Incarcerated Spigelian hernia: A rare cause of abdominal wall tender mass

Anılır, Ender; Buyuker, Fatih; Tosun, Bilgehan; Ali̇moğlu, Orhan

doi:10.14744/nci.2018.09582

Cited by 6 publications

(9 citation statements)

References 12 publications

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“…Although the fascial defects are often small and easily strangulated, they are often already retracted at the time of examination, in which case it is not always easy to identify the defect of hernia from the body surface and diagnosis becomes difficult [ [2] , [3] , [4] ]. Ultrasonography and CT scan are used for diagnosis [ [5] , [6] , [7] , [8] ], but ultimately, surgical findings are the most important for surgeon. Although simple suture closure has been conventionally used for treatment, a low recurrence rate has been reported in surgery using mesh [ 9 ], and although reports of laparoscopic surgery have increased in recent years, there are still no clear guidelines regarding the optimal technique.…”

Section: Introductionmentioning

confidence: 99%

The advantage of laparoscopic surgery in the treatment of Spigelian hernia: A report of two cases

Takayama

Okada

Nakatani

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance The usefulness of laparoscopic surgery in the treatment of Spigelian hernias and the appropriate insufflation pressure remains unclear. Case presentation Case 1 involved an 81-year-old woman presented with a right abdominal protrusion. CT scan demonstrated a defect in the abdominal wall at the lateral edge of the right rectus abdominis muscle. We diagnosed as Spigelian hernia and performed laparoscopic hernia repair. The insufflation pressure was set at 10 cm H 2 O, and the IPOM method was selected as the repair method. Case 2 involved a 74-year-old male presented with a right abdominal painful bulging. Strangulation was released and CT scan demonstrated a defect in the abdominal wall at the lateral edge of the right rectus abdominis muscle. We diagnosed as Spigelian hernia and performed laparoscopic hernia repair. The insufflation pressure was set at 10 cmH 2 O, and the repair was performed by the hybrid method. Clinical discussion In both cases, the positions of the hernia portals marked preoperatively based on the tender areas and confirmed laparoscopically were not accurate. Although Spigelian hernia is a rare disease and various laparoscopic techniques have been reported in recent years, laparoscopic surgery is very useful to obtain an accurate diagnosis and to observe the abdominal wall from inside the abdominal cavity under insufflation, and it is better to decide the repair method according to the situation of each case and institution. Conclusion Laparoscopic surgery is important for accurate diagnosis in surgery of Spiegel's hernia, and insufflation pressure of 10 cmH2O was sufficient.

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Section: Introductionmentioning

confidence: 99%

The advantage of laparoscopic surgery in the treatment of Spigelian hernia: A report of two cases

Takayama

Okada

Nakatani

et al. 2021

International Journal of Surgery Case Reports

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“…8 Three other recent case reports of spigelian hernia presented similarly to our patient, however, the contents of each hernia were different. 11,12,13 In these cases, the surgical approaches were determined by the content and complexity of the hernia. Most commonly, contents of the hernia include omentum or intestine; others, however, contain ovary, fallopian tube, uterus, testis, gallbladder, stomach, Meckel's diverticulum, appendix, and bladder.…”

Section: Discussionmentioning

confidence: 99%

Chronic Abdominal Pain In A Geriatric Patient: A Rare Case Of A Spigelian Hernia

Wright¹,

Dayo²,

Goebel³

2020

Marshall Journal of Medicine

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We present a case of spigelian hernia in a 77-year-old patient to highlight the difficulty in making this diagnosis and to raise awareness of this rare condition among physicians who care for geriatric patients with chronic bouts of abdominal pain. The patient presented to the emergency department with a two-day complaint of abdominal pain after three years of similar recurrent attacks. Results of the physical examination and computed tomography (CT) of the abdomen were consistent with a left-sided spigelian hernia. Operative repair was performed using robotic-assisted reduction and the patient recovered without any complications.

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Section: Introductionmentioning

confidence: 99%

“…Spiegel's hernia is a rare type of abdominal wall hernia, which incidence ranges from 0.12 to 2% of all abdominal hernias [1,2]. It is characterized by the protrusion of adipose tissue, peritoneal sac or abdominal viscera between the semilunar line and the lateral border of the rectus abdominis muscle [2,3]. The most affected age group is from 40 to 70 years and the distribution of the disease is similar in both genders [1], although a small female predilection has been described [4].…”

Section: Introductionmentioning

confidence: 99%

Recurrent Spigelian Hernia: case report

Rosati¹,

Menezes²,

Figueiredo³

et al. 2023

BJCR

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The protrusion of adipose tissue, peritoneal sac or abdominal viscera in the anterolateral region of the abdomen can configure the so-called Spigelian hernia. A 53-year-old patient with comorbidities is admitted for reoperation of Spiegel's hernia. Aging and the presence of obesity, multiparity and previous surgery may have predisposed the appearance of this type of hernia. For recurrence, obesity may have been a contributing factor, although factors related to the surgical procedure and the hernia itself should also be considered. Spiegel's hernia is a rare abdominal hernia whose treatment is surgery, bearing in mind the risks of recurrence and the possibilities of mitigating them.

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Incarcerated Spigelian hernia: A rare cause of abdominal wall tender mass

Cited by 6 publications

References 12 publications

The advantage of laparoscopic surgery in the treatment of Spigelian hernia: A report of two cases

The advantage of laparoscopic surgery in the treatment of Spigelian hernia: A report of two cases

Chronic Abdominal Pain In A Geriatric Patient: A Rare Case Of A Spigelian Hernia

Recurrent Spigelian Hernia: case report

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