Advertisement

Hernia

, Volume 6, Issue 4, pp 167–170 | Cite as

Spigelian hernia: bibliographical study and presentation of a series of 28 patients

  • A. Moreno-Egea
  • B. Flores
  • E. Girela
  • J. Martín
  • J. Aguayo
  • M. Canteras
Original Article

Abstract.

Spigelian hernias are rare defects of the abdominal wall. Our aim is to analyse the bibliography and present a series of 28 patients. A Medline bibliographical study was performed between 1970 and 2000 with analysis of the number of cases, series, ratio of cases to year and type of journal. We also present a personal study and analyse epidemiological, diagnostic, and treatment factors. There are 159 articles, 479 cases, and 19 series of more than five patients published in 85 journals (42.3% medical). Our diagnosis was preoperative in 75%, and programmed surgery was 3.6 times more common than emergency surgery. We found a significant relationship between hospital stay and type of surgery (P<0.02) and surgical technique used (P<0.001). We found that spigelian hernias have a multidisciplinary interest; they are given almost equal treatment in medical and surgical journals; preoperative diagnosis can be established in 75% of cases; and the best results are offered by the extraperitoneal laparoscopic approach.

Spigelian hernia Treatment Laparoscopy 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • A. Moreno-Egea
    • 1
  • B. Flores
    • 1
  • E. Girela
    • 1
  • J. Martín
    • 1
  • J. Aguayo
    • 1
  • M. Canteras
    • 1
  1. 1.Abdominal Wall Unit, Department of General Surgery, J. Mª. Morales Meseguer Hospital, Murcia, SpainSpain

Personalised recommendations