Mesh-Free Laparoscopic Spigelian Hernia Repair

Bittner, James G.; Edwards, Michael A.; Shah, Malay B.; MacFadyen, Bruce V.; Mellinger, John D.

doi:10.1177/000313480807400808

Cited by 38 publications

(19 citation statements)

References 63 publications

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“…Repairing the defect of SH contains fascial closure or fascial suturing reinforced with synthetic mesh in the cases of large defects [ 21 , 22 ]. Small hernia defects could be repaired by laparoscopic herniorrhaphy alone [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Spigelian hernia in the right upper abdominal wall: a case report

et al. 2018

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BackgroundSpigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the “Spigelian belt”, but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen.Case presentationA 38-year-old female was admitted to hospital with complaints of abdominal pain and right upper quadrant mass for 10 days. Contrast-enhanced computed tomography (CECT) of abdomen revealed the dilated small intestine between the swelling ventral muscles in the right upper abdominal wall which suggested a ventral hernia. The surgeons considered it was a spontaneous hernia because there was no history of surgery or trauma in the upper abdomen. About two hours later, the patient underwent emergency surgery. According to laparotomy, a diagnosis of SH with ileum herniation in the right upper abdominal wall was confirmed. The necrotic ileum segment was resected. Meanwhile the abdominal wall defect was repaired by suturing the internal oblique and transverse muscles to the rectus sheath. The patient had a favorable outcome for 1 year without recurrence.ConclusionA mass and pain in the upper abdominal wall may suggest an atypical SH. SH occurring in the upper abdominal wall is a rare condition with possibility of dire outcome if not managed early.Electronic supplementary materialThe online version of this article (10.1186/s12893-018-0449-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Spigelian hernia in the right upper abdominal wall: a case report

et al. 2018

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“…He was a well‐known botanist of his time and the genus Spigelia , which has six species, is named after him (Spigelius, ). Traditionally, the rhizome and roots of Spigelia merilandica were used to cure intestinal parasites (Bittner et al, ). In his text Isagoge in rem herbarium libri duo (Spigelius, ), a treatise on botanical science, Spigelius was the first to give instructions for making dried herbarium specimens—a technique that became popular only during the last century.…”

Section: Other Achievementsmentioning

confidence: 99%

Adriaan van den Spiegel (1578–1625): Anatomist, physician, and botanist

et al. 2014

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Adriaan van den Spiegel (1578-1625) was a Flemish anatomist and physician. He was one of the most prominent anatomists at the University of Padua during the 17th century and became professor of anatomy and surgery there in 1619. He was privileged to have two of the most accomplished anatomists of that period, Fabricius ab Aquapendente and Iulius Casserius, as his teachers. His anatomical works were published after his death by his pupil Bucretius and his son-in-law Liberalis Crema, with illustrations procured from Casserius's unpublished anatomical atlas. He contributed significantly to establishing basic morphological facts about the developing embryo in his text De formato foetu liber singularis. In his book De humani corporis fabrica libri decem, Spiegel's lobe (caudate lobe) of the liver and the linea semilunaris (Spiegel's line) on the lateral side of the rectus abdominis muscle were described for the first time. Subsequently, Spigelian aponeurosis (between the lateral margin of the rectus abdominis and the linea semilunaris) and Spigelian hernia (lateral ventral hernia) were named after him. He was a renowned physician in his time and was the first to give a detailed description of malaria. He made significant contributions as a botanist: the genus Spigelia, which has six species, is named after him.

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“…Spigelian hernias are usually small, therefore, the risk of strangulation th th is high. Most occur on the right side between 4 -7 decades [2][3][4][5] of life. Compared to other types of hernias they are rare.…”

Section: Introductionmentioning

confidence: 99%

Spigelian hernia-Our experience

Malik¹,

Bari²

2019

JMS

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Background; A Spigelian hernia is a very rare hernia which develops through the aponeurotic layer between the rectus abdominal muscles medially, and the semilunar line laterally. Aim: The aim of this study is to understand the clinical presentation and management of this rare hernia. Material and methods: This study was conducted over a period of five years in the Department of Surgery SKIMS Medical College Srinagar and included all the patients diagnosed as spigelian hernia. Results: During our study, we encountered only four cases of spigelian hernia, which included three females and one male. Conclusion: The spigelian hernia is a very rare hernia seen in adults and usually there is no notable swelling on examination. Although they are rare but there is a high risk of strangulation. JMS 2018: 21 (2):114-116

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Mesh-Free Laparoscopic Spigelian Hernia Repair

Cited by 38 publications

References 63 publications

Spigelian hernia in the right upper abdominal wall: a case report

Spigelian hernia in the right upper abdominal wall: a case report

Adriaan van den Spiegel (1578–1625): Anatomist, physician, and botanist

Spigelian hernia-Our experience

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