HERNIAS DE LA PARED ABDOMINAL ZONAS DEBILES DE LA PARED ABDOMINAL 1. Hernia epigástrica. 2. Hernia umbilical. 3. Hernia. Objective: Spigelian hernia is an uncommon abdominal wall defect. La técnica quirúrgica dependerá de las características del paciente, la hernia y la. H. epigástrica. . TÉCNICA LAPAROSCÓPICA• visualizar el defecto de la hernia y la anatomía circundante con claridad y ampliación.
|Published (Last):||23 December 2014|
|PDF File Size:||7.85 Mb|
|ePub File Size:||2.23 Mb|
|Price:||Free* [*Free Regsitration Required]|
Ultrasonography can trcnica the diagnosis but provides less specificity than CT scan as has quite false negatives in obesity patients. Rev Esp Enferm Dig ; 99 9: These techniques can help to make a diagnosis and specially can provide data on the exact location of the defect, size, environment and hernia sac content.
We present the results of our own series and a literature review. That case presented as texnica incarcerated Spigelian hernia but during ultrasonography exploration it got reduce.
There was a problem providing the content you requested
Ann Surg ; 6: Spigelian hernia is an uncommon abdominal wall defect. Personal experience and review of the literature Hernias de Spiegel. Anyway the number of patients of these studies is very small to find statistical differences.
We carried out a retrospective review of patients operated on from to CT scan is the recommended investigational imaging study, moreover if laparoscopic approach is going to be employed so that any hernia sac quiryrgica can be properly identified 17,6. As regards to postoperative morbidity literature describes minimal and mild complications such as wound infections, paralytic ileus or haematomas.
A very important factor to be aware of during physical examination is the difference between lower SH and inguinal hernias. La morbilidad postoperatoria es escasa.
All of our patients had symptomatic SH. Alicia Ruiz de la Hermosa. As other authors, we consider open surgery 6 as the technique of choice when incarceration is present although we have performed a laparoscopy approach in a patient who underwent an emergency surgery. It is also called spontaneous lateral ventral hernia, hernia of semilunar line, hernia of the conjoint tendon or interstitial ventral hernia.
The semilunar line extends from the costal margin to the pubic spine and it shows transitional area from muscle to aponeurosis of the transverse muscle of the abdomen. The different options include primary closure or mesh repair in cases of atrophic aponeurosis, wide defect or recurrences. There are no significant differences in literature about their right or left location and there aren’t in our series either.
Most of SH are situated underneath the external oblique muscle, between the different sheaths of abdominal wall, and therefore, SH are also called interstitial, intraparietal or occult hernias.
We have used intra-abdominal modality in all cases and we do not have experience with totally extraperitoneal technique, although is the recommended by most authors. The presence of any of these situations must be regarded as a starting point for correctly orienting clinical history and should lead to the diagnosis. In these cases the hernia sac penetrates the external oblique aponeurosis and lie below the subcutaneous fat making easy during physical examination to feel the bulge.
Some authors obtain without mesh as good results as with it, and they currently recommend mesh-free repair, either for conventional repair like Hsieh 23 or for laparoscopy repair like Bittner 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. Am Surg ; 74 8: Only a small percentage of SH 0. Department of General Surgery I.
Cir Esp ; 79 3: Open hernioplasty followed by laparoscopic hernioplasty are the most frequent techniques performed. Twenty five patients The hernia location is unknown in 5 of our patients as the medical history didn’t include this information, which is a frequent limitation of retrospective studies.
Surgical technique depends on patient characteristics, type of hernia and surgeon experience. Results Between January and December39 patients underwent surgery for Spigelian hernia.
Tecnca from the type of surgical approach exists discussion about the need of a prosthetic mesh. In our experience intraabdominal approach is easy to perform and gives good results. An analysis of cases. Carter JE, Mizes C. Open approach follows the usual principles of any hernia repair.
Incidence and outcome of surgical repair of spigelian hernia. After that laparoscopic approach has been widely described in literature. The presence of pain and a palpable lump in the typical location should alert us of its diagnosis.
Tècnica Quirurgica de Pared Abdominal by Krizz Luque Mora on Prezi
However it could be difficult to identify them during the physical examination as the hernia sac is located beneath the aponeurosis of the external oblique. An important percentage of patients will present with an acute complication of the Spigelian hernia as their first symptom.
Rev Esp Enferm Dig ; 97 5: Patients and methods We carried out a retrospective review of patients operated on epigaatrica to at our Hospital.
The treatment of Spigelian hernia should be surgical.