Spigelian hernia repair as a day-case procedure

Abstract

The elective spigelian hernia can be successfully repaired under local anesthesia as a day-case procedure. The "open preperitoneal flat mesh technique" provides excellent results under these conditions.

Spigelian Hernia Containing an Incarcerated Appendix- A Case Report and Literature Review

“…The optimal diagnostic technique allowing for the detection of hernias is CT. During the diagnostic process an ultrasound examination may also prove useful. Moreover, magnetic resonance imaging or a diagnostic laparoscopy are helpful in difficult cases [1][2][3][4]6,9,10,18]. In our described case the preliminary diagnostic impression was suggestive of the presence of a tumor of the blind gut or a periappendicular infiltrate.…”

“…Obesity and comorbidities usually do not significantly influence the duration of hospitalization or the result of surgery. In the majority of cases the patients were discharged within one day [1,3,14]. Every case requires surgical treatment which involves either open or laparoscopic approach.…”

“…It can co-occur with other abdominal hernias, which is suggestive of connective tissue disease [3,6,[11][12][13]. Hernia sacs, most frequently are formed by the peritoneum however, the aponeurosis of the transverse abdominal muscle may also contribute to the structures constituting the hernia sac.…”

“…Usually the symptoms are non-specific and therefore a diagnosis based only on the clinical examination is difficult. According to the literature, in 50% of the cases, confirmation of the diagnosis is only possible during surgery [1][2][3][4]. In this article we present the case of a patient with a suspected tumor of the blind gut, where only a more accurate preoperative examination later enabled the identification of the presence of a SH.…”

“…Adriann van den Spieghel, a Belgian anatomist, was the first to describe a region known as the Spigelian fascia, which is the aponeurotic layer located between the traverse abdominal muscle medially, and the semilunar line laterally [1][2][3]. Consequently, hernias in this region are referred to as SH.…”