Spigelian Hernia with Small Bowel Obstruction: Lateral Port Site Complication from Laparoscopic Gynecologic Surgery

Beroukhim, Gabriela; Hosier, Hillary; Cho, Yonghee

doi:10.1016/j.jmig.2021.11.010

Cited by 1 publication

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“…The Spigelian hernia itself is an uncommon occurrence, while it is safe to say that an incarcerated SH is a true rarity. The hernia sac usually encompasses the omentum, a segment of the small intestine, or the appendix [6,7,8].…”

Section: Discussionmentioning

confidence: 99%

Intraperitoneal onlay mesh laparoscopic repair of an incarcerated Spigelian hernia - case report and literature review

Milosavljević

Crnokrak

Gluhovic³

et al. 2023

Srp Arh Celok Lek

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Introduction. Spigelian hernia is a type of lateral ventral hernia, localized between the rectus abdominis muscle and the semilunar line. Current literary data indicate that the prevalence of Spigelian hernia is 1-2% of all hernias of the abdominal wall. Patients are most commonly asymptomatic. Case outline. We present a 63-year-old male patient, who was admitted to our hospital as an emergency case due to lower abdominal pain. Upon hospital admission, radiological diagnostics, and a physical examination, the presence of a Spigelian hernia was verified, which, at the moment of the examination, was incarcerated. It was established that surgical treatment was indicated. We performed laparoscopic intraperitoneal onlay mesh plastic in the standard way. The patient was discharged from hospital on the following day with normal values of vital and laboratory parameters. Conclusion. The Spigelian hernia, although first described many years ago, remains a diagnostic challenge, which is why its occurrence requires a multidisciplinary approach for the purpose of establishing a timely and accurate diagnosis. Within the surgical treatment of this state, there are several surgical techniques, and special focus is placed on the minimally invasive surgical approach. Also, within the minimally invasive surgical approach, there are several operating techniques.

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Section: Discussionmentioning

confidence: 99%