Unable to process the form. Oblique views are advisable to demonstrate these hernias 34 , with an intestinal loop full of contrast material being observed outside the peritoneal cavity. Minerva Chir ;
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The hernial sac, surrounded by extraperitoneal fatty tissue, is often interparietal passing through henria transversus and the internal oblique aponeuroses and then spreading out beneath the intact aponeurosis of the external oblique. There were no significant difference between these two groups in age, gender, BMI, underlying diseases, symptoms, and duration of symptoms.
Synonyms or Alternate Spellings: The British Journal of Surgery. Other symptoms include nausea, vomiting, local hyperesthesia, and altered intestinal rhythm A strangulated Spigelian hernia mimicking diverticulitis. Parthenon Publishing Group, Symptoms can vary and mostly are unspecific so that a delayed diagnosis is frequent.
Lower SH are below the level of the inferior epigastric vessels and that can lead to mistake a SH hernis an inguinal hernia. A fact to emphasize is that the fibers of the lesser oblique and transverse muscles in the supra-umbilical region intersect at right angles, making the formation of hernias difficult.
Log in Sign up. Scopinaro described for the first time a SH in a boy aged six days, who died from incarceration In the worldwide literature we found thirty cases of children younger than 16 years operated on for Spigelian hernia A reducible palpable may be helpful in making the diagnosis of SH. Indirect inguinal hernia spuegel as a Spigelian hernia.
Introduction Spigelian hernia is an uncommon variety of abdominal wall defect. Surg Clin North Am. Case 1 Case 1. The postoperative course was uneventful and the patient was discharged on the seventh postoperative day.
The second symptom in frequency in our patients is the presence of a lump, but as mentioned above, due to anatomical characteristics of SH, the lump may be not palpable as shown by Moles et al who refer the Intestinal occlusion and Spigelian Hernia. SH often has serious complications.
Spigelian hernia - Wikipedia
These hernias dr been described with the names of spontaneous lateral ventral hernia, joint tendon hernia, semilunar line hernia, and ventral interstitial hernia 10, Vonen Pediatric Surgery International. The differential diagnosis of SH must be made with the following pathological conditions: The mean follow-up time was 8. Spigelian hernias have a multidisciplinary interest and their diagnosis involves various specialities such us surgeons, radiologists and in some instances internists and gastroenterologists when the SP presents as abdominal pain syndromes.
None Conflict of Interest: Less commonly, other entities such as fibroma, lipoma, sarcoma and hemangioma may be found.
Hernia de Spiegel
We reviewed our patients and found whether open repair of SH with or without extra-peritoneal mesh gave the excellent result. Cir Hernla Amb ; 8: The treatment of Spigelian hernia is surgical and can be performed either by classic open or laparoscopic technique.
May 3, Accepted: Postoperative morbidity is very low. The BMI was compared: