Laparoscopic totally extraperitoneal and transabdominal preperitoneal approaches are equally effective for spigelian hernia repair

Donovan, Kara; Denham, Merritt; Kuchta, Kristine; Carbray, JoAnn; Ujiki, Michael; Linn, John G.; Denham, Woody

doi:10.1007/s00464-020-07582-9

Cited by 9 publications

(17 citation statements)

References 16 publications

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“…Desde entonces, múltiples estudios han demostrado los beneficios de estos abordajes frente a la vía abierta, aunque, según Donovan y cols. en 2021 16 , la TAPP y TEP no han mostrado diferencias. En nuestro caso, debido a los antecedentes del paciente, a los defectos asociados y a la falta de experiencia en el abordaje TEP, nos vimos limitados a la resolución del caso por abordaje abierto.…”

Section: Discussionunclassified

Spiegel-Casseri hernia associated with bilateral inguinal hernia. Case report

López¹,

E²,

Nari³

et al. 2022

Rev Hispanoam Hernia

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Section: Discussionunclassified

Spiegel-Casseri hernia associated with bilateral inguinal hernia. Case report

López¹,

E²,

Nari³

et al. 2022

Rev Hispanoam Hernia

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“…Spiegel described a lateral, convex line extending from the cartilage of the ninth rib to the pubis, lateral to the rectus abdominis and where the transversus abdominis muscle transition to its aponeurosis is found [7,11]. This line became known as the semilunar line or Spiegel's line (Figure 2) [7].…”

Section: Anatomymentioning

confidence: 99%

“…Complementary diagnostic tests such as ultrasonography (US) and computed tomography (CT) can play an essential role in its diagnosis. Due to the high risk of incarceration (25%) [4,6,7], this type of hernia is indicated for surgery [4,5,7,9,11,12]. The surgery can be performed openly or laparoscopically, with or without mesh placement [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

“…Due to the high risk of incarceration (25%) [4,6,7], this type of hernia is indicated for surgery [4,5,7,9,11,12]. The surgery can be performed openly or laparoscopically, with or without mesh placement [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Currently, the laparoscopic approach is increasingly used as it is associated with low morbidity rates [2-6, 8, 9, 13, 14].…”

Section: Introductionmentioning

confidence: 99%

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Spigelian Hernia

Barbosa¹,

Diogo²,

Prudente³

et al. 2022

Hernia Surgery

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Spigelian hernia (SH) is uncommon and accounts for only 0.12–2% of all abdominal hernias. Spigelian hernia is a protrusion through a defect in the aponeurosis of the transversus abdominis muscle (Spigelian fascia) that is limited by the semilunar line and the lateral edge of the rectus abdominis muscle. It is more common in women 50–60 years and it is twice as common on the right side. Patients may present with non-specific abdominal pain. Clinical diagnosis may be difficult, especially in obese patients, and radiologic exams are essential to obtain the correct diagnoses. This type of hernia has a mandatory indication to surgical repair due to the risk of incarceration that can occur in about 25% and strangulation that can occur in about 40%. Traditionally, open surgical repair is most commonly used. However, laparoscopic approach is becoming increasingly popular since it allows faster recovery, shorter hospital stay, and less pain, with no commitment to recurrence. Currently, there are no studies that demonstrate the superiority of a laparoscopic technique (intraperitoneal onlay mesh (IPOM), transabdominal pre-peritoneal (TAPP) or extraperitoneal approach (TEP)). The intraperitoneal route is a simple, faster, and easily reproducible approach.

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“…These methods include intraperitoneal onlay mesh (IPOM) repair, totally extraperitoneal (TEP) repair, and transabdominal preperitoneal repair (TAPP), by either laparoscopic or robotic approach. [4][5][6][7][8][9] Although several methods and approaches exist with apparent advantages and limitations, the optimal procedure for SH repair has yet to be determined and the literature is scarce regarding which repair is superior.…”

Section: Introductionmentioning

confidence: 99%

Transabdominal Preperitoneal (TAPP) for the Treatment of Spigelian hernias

Rayman

Yuori

Rachmuth

et al. 2021

JSLS

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Background And Objectives: Spigelian hernias (SH) are a rare variant of abdominal wall defects that require prompt surgical intervention. With the advancement of abdominal wall surgery capabilities, there are several possible approaches of repairing SH. The aim of the study was to present our experience in performing laparoscopic or robotic transabdominal preperitoneal (TAPP) repairs of SH and discuss the advantages of TAPP in such hernias.Methods: Retrospective review of a prospectively maintained database of SH TAPP repairs between February 1, 2015 and February 29, 2020. Data included clinical details, size and location of fascial defect, presence of concomitant hernias, surgery duration, length of stay (LOS), mesh type, mesh size, and fixation method. Follow up visits at 1 month postoperative and telephone survey for pain assessment and subsequent hernia-related treatment.Results: During the study period 16 patients underwent TAPP SH repairs, 13 laparoscopically and 3 robotic. Seven (44%) patients had a concomitant inguinal hernia with 1 patient having bilateral inguinal defects. Mean surgery duration and mean LOS were 78 (range 41 -120) minutes & 1.6 (range 1 -3) days, respectively. Immediate postoperative complications included 2 seromas and 1 port-site hematoma. Mean telephone survey follow up was 17 months (range 3 -49). Mean visual analogue scale scores were significantly lower at follow-up compared to discharge (1.9 vs 0.5, P = 0.0015). Conclusion:Advantages of TAPP SH repair include low postoperative chronic pain, potential low wound complications, intra-abdominal visualization of hernia contents, and repairing of concomitant inguinal hernias simultaneously.

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Laparoscopic totally extraperitoneal and transabdominal preperitoneal approaches are equally effective for spigelian hernia repair

Cited by 9 publications

References 16 publications

Spiegel-Casseri hernia associated with bilateral inguinal hernia. Case report

Spiegel-Casseri hernia associated with bilateral inguinal hernia. Case report

Spigelian Hernia

Transabdominal Preperitoneal (TAPP) for the Treatment of Spigelian hernias

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