Titre
Spigelian hernia: current approaches to surgical treatment-a review.
Type
synthèse (review)
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Hanzalova, I.
Auteure/Auteur
Schäfer, M.
Auteure/Auteur
Demartines, N.
Auteure/Auteur
Clerc, D.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1248-9204
Statut éditorial
Publié
Date de publication
2022-12
Volume
26
Numéro
6
Première page
1427
Dernière page/numéro d’article
1433
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Review ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
Spigelian hernias (SpH) belong to the group of eponymous abdominal wall hernias. Major reasons for diagnostic difficulties are its low incidence reaching maximum 2% of abdominal wall hernias, a specific anatomical localization with intact external oblique aponeurosis covering the hernia sac and non-constant clinical presentation.
A literature review was completed to summarize current knowledge on surgical treatment options and results.
SpH presents a high incarceration risk and therefore should be operated upon even if the patient is asymptomatic. Both laparoscopic and open repair approaches are validated by current guidelines with lesser postoperative complications and shorter hospital stay in favour of minimally invasive surgery, regardless of the technique used. Overall recurrence rate is very low.
All diagnosed SpH should be planned for elective operation to prevent strangulated hernia and, therefore emergency surgery. Both open and laparoscopic SpH treatment can be safely performed, depending on surgeon's experience. In most cases, a mesh repair is generally advised.
A literature review was completed to summarize current knowledge on surgical treatment options and results.
SpH presents a high incarceration risk and therefore should be operated upon even if the patient is asymptomatic. Both laparoscopic and open repair approaches are validated by current guidelines with lesser postoperative complications and shorter hospital stay in favour of minimally invasive surgery, regardless of the technique used. Overall recurrence rate is very low.
All diagnosed SpH should be planned for elective operation to prevent strangulated hernia and, therefore emergency surgery. Both open and laparoscopic SpH treatment can be safely performed, depending on surgeon's experience. In most cases, a mesh repair is generally advised.
PID Serval
serval:BIB_EB1A0253A1B0
PMID
Open Access
Oui
Date de création
2021-10-25T07:24:08.784Z
Date de création dans IRIS
2025-05-21T05:10:59Z
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Nom
s10029-021-02511-8.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
908.31 KB
Format
Adobe PDF
PID Serval
serval:BIB_EB1A0253A1B0.P001
URN
urn:nbn:ch:serval-BIB_EB1A0253A1B05
Somme de contrôle
(MD5):d46fc9057e7056b4cbc603561ea2f59a