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.
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Patients and methods We carried out a retrospective review of patients operated on from to at our Hospital. Incidence and outcome of surgical repair of spigelian hernia.
That case presented as an incarcerated Spigelian hernia but during ultrasonography exploration it got reduce. Results Between January and December39 patients underwent surgery for Spigelian hernia. Laparoscopy approach allowed us to explore abdominal cavity and rule out any damage to e;igastrica bowel loops that could have passed unnoticed.
The second modality of endoscopic treatment is the extraperitoneal approach that offers the advantage of avoiding general anesthesia so that can be performed easily as an outpatient procedure and also avoids the possible added risk of visceral lesions as demonstrates the only prospective randomized controlled trial comparing conventional versus laparoscopic management of Spigelian hernia 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.
The first one allows to explore the contralateral side as well as the abdominal cavity and for some authors is the recommended method when there is another process requiring associated surgery because can be performed in the same intervention 6. That special location of SH contributes to hinder the diagnosis. There was neither serious morbidity nor mortality.
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J Comput Assist Tomogr ; In these cases the quirrugica sac penetrates the external oblique aponeurosis and lie below the subcutaneous fat making easy during physical examination to feel the bulge.
A delay in the diagnosis leads to a high rate of complications and the need of emergency surgery in many cases 3. Subsequently Moles Morenilla et al made a bibliographic review of Spanish literature in that included patients 1.
In those cases of diagnostic doubt is advisable to perform a sonography or epigaetrica 13, Laparoscopic diagnosis and repair of spigelian hernia: As regards to postoperative morbidity literature describes minimal and mild complications such as wound infections, paralytic ileus or haematomas.
Diagnosis and management of Spigelian hernia: Apart quirudgica the type of surgical approach exists discussion about the need of a prosthetic mesh. Diagnosis of Spigelian hernia is basically clinic.
Most of these hernias occur distal to qirurgica umbilicus, within the spigelian hernia belt or Spangen area which is a transverse band between the line joining both anterior superior iliac spines and a parallel line 6 cm cranial at the level of the umbilicus 1,2.
Hernias de Spiegel: Nuestra experiencia y revisión de la literatura
InCarter y Mizes performed the first intra-abdominal laparoscopic correction 20 and inSalvador et al published the first one in Spain 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.
It is also called spontaneous lateral ventral hernia, hernia of semilunar line, hernia of the conjoint tendon or interstitial ventral hernia. Introduction Spigelian hernia is an uncommon variety of abdominal wall defect. Br J Surg ; Lower SH are below the level of the inferior epigastric vessels and that can lead to mistake a SH for an inguinal hernia.
Tècnica Quirurgica de Pared Abdominal by Krizz Luque Mora on Prezi
The presence of any of these qiirurgica must be regarded as a starting point for correctly orienting clinical history and should lead to the diagnosis. Sometimes the way of presentation is a complication that requires emergency surgery. It occurs because of a weak area of spiegelian fascia which is localized between the semilunar line and the epgastrica edge of the anterior rectus muscle.
Between January and December39 patients underwent surgery for Spigelian hernia.
Mesh-free laparoscopic spigelian hernia repair. J Ultrasound Med ; Diagnosis and treatment of Spigelian hernia.
Twenty five patients