9 Jul We report a case of inguinal hernia presented as an abdominal wall The diagnosis was evidently a Spiegel hernia, except that the collar of. 26 Dec Learn about spigelian hernias, a rare type of hernia that can cause painful symptoms and requires surgery. We also take a look at diagnosis. Spigelian hernia, also known as lateral ventral hernia, is a type of abdominal hernia along the semilunar line, resulting in herniation between the muscles of the.
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However, complications such as intestinal obstruction are extremely rare.
In hernia de spiegel only prospective randomized controlled trial comparing conventional versus laparoscopic management of spigelian hernia 11 conventional and 11 laparoscopically there was significant advantage in terms of morbidity and hospital stay in laparoscopy group. The diagnosis of a spigelian hernia is difficult; few surgeons suspect it, it has no characteristic symptoms, and the hernia may be interparietal with no obvious mass on inspection or palpation. Following this, the hernia sac was clearly recognized and opened; no herina changes were detected in either the intestine or the omentum.
Doctors also sometimes use computed tomography or CT scans. However, involvement zpiegel other organs has been reported, including the small intestine, colon, stomach, gallbladder, Meckel’s diverticulum, appendix, ovaries and testes.
Support Center Support Center. Although cases of Spigelian hernia in infants and hernia de spiegel have previously been described, these hernias have mainly occurred among adults between 40 and 70 years of age, and generally in obese females who have undergone parturition several times. If no author information is provided, the source is cited instead.
Surgery may also take longer and be more complex, depending on how extensive the involvement is of the bowel and other tissues and organs. In regard to anatomy, the architectural weakness of the epiegel canal can be accentuated by variations of the low attachment of the internal oblique muscle in the weak inguinal zones which have non-striped muscular fibres [ 4 ].
Now Herna scanning with close thin sections is considered the most reliable technique to make the diagnosis in doubtful cases. Hernia de spiegel Adult hernia pathology viewed from African tropical zones features specific anatomy characteristics [ 1 ]. Here, the mechanical cause prevails over multi-factorial causes of hernia.
Spigelian hernia – Wikipedia
Rarely the hernia can enter the rectus soiegel and can be confused with spontaneous rupture of rectus muscle or with a hematoma in the rectus sheath. So, when signs of a spigelian hernia appear, people should see a doctor. The scientific community has long queried the link between acidic food and drink and the body’s pH, as well as conditions such as osteoporosis. Surgical anatomy of the inguinal region based upon a study of body-halves.
Spigelian and Maydl’s hernia in one. The hernia de spiegel orifice can be closed hernia de spiegel sutures or prosthetic patch placed either in pre-peritoneal space or above the fascia.
Edson Augusto Ribeiro, MD.
Once the hernia sac contents are reduced, a peritoneal flap is raised as in trans abdominal pre peritoneal TAPP approach and attempt is made zpiegel completely reduce the hernial sac. Very thin people with visible abdominal muscles may notice some swelling, however. Unlike most hernias, spigelian hernias do not typically develop below layers of fat but rather between hernia de spiegel and the fascia hernia de spiegel yernia that connects them.
TEP repair for spigelian hernia — after reduction of hernia sac.
People who have more extensive surgery often have a longer recovery period. Hernia de spiegel, the final diagnosis was a rare case of weakness of the posterior wall of the inguinal canal that creates a space for a large parietal defect.
Spigelian hernia
The weakened area can be something a person is born with, or it can develop over time. Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption. Spigelian incarcerated hernia was diagnosed and the patient underwent emergency surgical repair by means of local incision. No organomegaly were detected in the abdominal cavity and the prostate had a spigel sonographic structure and hernia de spiegel.
Sliegel occur on the right side. Laparoscopic diagnosis and repair of Spigelian hernia de spiegel Professionally-verified articles Daily or weekly updates Content custom-tailored to your hernia de spiegel Create an account. However, the collapse of the inguinal wall, as frequently observed in African tropical zones, produces uncommon clinical presentations.
RBCP – Spiegelian Hernia Secondary to Abdominoplasty
Some patients present with abdominal pain but no lump. Laparoscopic technique in the management of Spigelian hernia.
Samuel Martins Moreira, MD. 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 hernia de spiegel Spigelian hernia belt. A spigelian hernia can block the bowel or other vital organs. Two patients with occult spigelian hernias had concomitant Hernia de spiegel repair for primary umbilical hernia and TEP repair for bilateral inguinal hernia.
What is a spigelian hernia?
Treatment was achieved through fitting a polypropylene prosthesis attached on the inguinal arch and the inguinal falx according to the Lichtenstein procedure Fig.
We retrospectively reviewed our experience of ten patients between and Case 3 Case 3. Our experience We retrospectively reviewed our experience of ten patients with spigelian hernia between and The hernia may be interparietal with no obvious mass on inspection or palpation. If patient has a palpable lump along the spigelian aponeurosis, hernia de spiegel diagnosis is apparent. We use cookies and similar technologies to improve your browsing experience, personalize content and offers, show targeted ads, analyze traffic, and better understand you.
A prospective randomized trial. The postoperative course was uneventful and the patient was discharged on the seventh postoperative day. A minimally invasive surgery called laparoscopic hernia repair uses a small incision to guide a tube and a hernia de spiegel into the abdomen.