scholarly journals A case of fistula from the ileum to the abdominal wall by ileac impaction to a spigelian hernia and treated by laparoscopic assisted surgery

2012 ◽  
Vol 73 (8) ◽  
pp. 2143-2147 ◽  
Author(s):  
Tsunehiro MAEDA ◽  
Osamu FUKIAGE ◽  
Yoichi FUJITA ◽  
Masakazu SASAKI
1997 ◽  
Vol 11 (7) ◽  
pp. 754-757 ◽  
Author(s):  
H. Nisii ◽  
T. Hirai ◽  
H. Ohara ◽  
Y. Masuda

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Sanoop Koshy Zachariah ◽  
Priya Jose

Spigelian hernias are rare hernias, representing only about 1-2% of all abdominal hernias. An accurate preoperative diagnosis of this condition is often difficult because the physical presence of these hernias is often not demonstrable owing to its peculiar anatomic location. Many patients with Spigelian hernias, therefore, may have no obvious findings on clinical examination. The diagnosis is even trickier in obese patients wherein the hernia sac may lie in an intraparietal plane, masked by the abdominal subcutaneous fat. Here we describe a case of incarcerated Spigelian hernia where clinical and radiological findings were inconsistent and the accurate diagnosis was made by laparoscopy and was followed by a laparoscopic-assisted repair using an open anterior approach with an onlay mesh. We therefore feel that laparoscopy can be a useful tool for confirming the diagnosis and also for performing a definitive repair in doubtful cases of Spigelian hernias.


2015 ◽  
Vol 50 (3) ◽  
pp. 456-461 ◽  
Author(s):  
Stephanie D. Talutis ◽  
Oliver J. Muensterer ◽  
Samir Pandya ◽  
Whitney McBride ◽  
Gustavo Stringel

2016 ◽  
Vol 06 (02) ◽  
pp. 073-075
Author(s):  
Rajesh Ballal ◽  
Khamar Jaha Banu ◽  
Likith Rai

AbstractSpigelian hernia is protrusion of the viscera through the spigelian fascia. They account for only 2% of all abdominal wall hernias and are relatively associated with higher risk of complications. It was first reported by Klinkosch in 1764. The treatment of choice is open hernioplasty. Here we report a case of 65 yrs. old lady who underwent laparoscopic transabdominal underlay repair for spigelian hernia concluding that minimal assess surgery is a viable modality of treatment of spigelian hernia.


2005 ◽  
Vol 123 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Edson Augusto Ribeiro ◽  
Ruy Jorge Cruz Junior ◽  
Samuel Martins Moreira

CONTEXT: Spigelian hernia is an uncommon spontaneous lateral ventral hernia with an incarceration ratio of around 20%. However, complications such as intestinal obstruction are extremely rare. We report on a case of giant incarcerated Spigelian hernia with a clinical condition of complete intestinal obstruction that was treated using prosthetic polypropylene mesh. CASE REPORT: A 72-year-old woman was admitted to the emergency department complaining of diffuse abdominal pain. Abdominal examination revealed a firm 10 x 10 cm tender mass in the lower left quadrant, without surrounding cellulite or tenderness. Plain abdominal radiographs displayed the formation of levels, thus indicating the existence of intestinal obstruction. An abdominal computed tomography scan clearly showed a fluid and air-filled mass in the soft tissue area of the lower left-side abdominal wall. Spigelian incarcerated hernia was diagnosed and the patient underwent emergency surgical repair by means of local incision. The large defect in the abdominal wall was closed up as successive anatomical layers, and a prosthetic polypropylene mesh was set into the lateral aspect of the rectus sheath. The postoperative course was uneventful and the patient was discharged on the seventh postoperative day.


Hernia ◽  
2015 ◽  
Vol 19 (S1) ◽  
pp. S344-S344 ◽  
Author(s):  
A. Bhardwaj ◽  
S. Kalhan ◽  
P. Bhatia ◽  
M. Khetan ◽  
S. John ◽  
...  

2011 ◽  
Vol 46 (2) ◽  
pp. 415-416 ◽  
Author(s):  
Anand Pandey ◽  
Jiledar Rawat ◽  
Jigyasa Pandey ◽  
Sunita Singh ◽  
Saroj Chooramani Gopal

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