- Spigelian hernia: our experience and review of the literature.
- Primary acquired Grynfeltt Hernia: two new cases and literature review.
- Spigelian hernia
Spigelian hernia: our experience and review of the literature.
AIM: Describe a rare case of intestinal obstruction due to sigmoid colon Publisher: L'ernia di Spigelio e un raro difetto della parete.con con del con rey mysterio da colorare video piedi in faccia
The related abdominal wall defects were repaired, by open surgery, placing a partially absorbable plug and mesh. The observation and management of these two new cases prompted us to review the literature with the purpose of suggesting the most appropriate surgical approach and technique. RESULTS: Postoperative courses were uneventful and the patients were discharged from hospital respectively on the third and second postoperative day. Follow-up at thirty days, six months, two and three years showed no signs of recurrence. In literature there are no comparative studies showing which type of surgical approach should be preferred for this specific abdominal wall defect.
The incidence is thought to peak around the 4 th to 7 th decades. There may be a slightly increased female predilection with a male to female ratio of Two hypotheses has been proposed to explain the association, but the exact mechanism is still in debate. The hernial orifice of a Spigelian hernia is located in the Spigelian fascia, that is, between the lateral border of the rectus abdominis muscle and the semilunar line , through the transversus abdominis aponeurosis, close to the level of the arcuate line. The majority of Spigelian hernias are found in a transverse band lying cm cranial to a line running between both anterior superior iliac spines referred to as the Spigelian hernia belt.
G Chir Vol. Novembre-Dicembre Spigelian hernia: a case report and review of the literature. Summary: Spigelian hernia: a case report and review of the literature. Leonetti, P. Spigelian hernia is a rare abdominal hernia that occurs through Spigelian aponeurosis.
Primary acquired Grynfeltt Hernia: two new cases and literature review.
A Spigelian hernia or lateral ventral hernia is a hernia through the Spigelian fascia , which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall ; therefore, there is often no notable swelling. Spigelian hernias are usually small and therefore risk of strangulation is high. Most occur on the right side. Compared to other types of hernias they are rare. People typically present with either an intermittent mass, localized pain, or signs of bowel obstruction.
AIM: Describe a rare case of intestinal obstruction due to sigmoid colon incarceration into a right Spigelian hernia and provide a literature review about its surgical management. Clinical examination revealed a not reducible palpable mass on right side of the anterior abdominal wall. Computed tomography shown signs of intestinal obstruction and a Spigelian hernia of about 3 cm. The hernia content was reduced and the defect was repaired with a polypropylene mesh placed in the pre-peritoneal space. Postoperative period was uneventful and the patient was discharged on the fourth postoperative day. Clinical presentation depends on the size and the pattern of the hernia defect. In some cases, symptoms are no specific and uncommon findings have been reported so far.