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[Spieghel's hernia and its treatment].
Fortschritte Der Medizin
|April 27, 1978
Summary
Spigelian hernias, occurring through the fascia transversalis, are rare but require high clinical suspicion for diagnosis. Surgical outcomes are generally favorable, with few residual complaints reported.
Area of Science:
- Abdominal Surgery
- Surgical Anatomy
Background:
- Spigelian hernias arise from congenital or acquired defects in the fascia transversalis.
- These hernias are typically located below the umbilicus, lateral to the rectus sheath.
Purpose of the Study:
- To report on a series of patients with spigelian hernias.
- To discuss diagnostic challenges and surgical management.
Main Methods:
- Retrospective review of 12 patients with spigelian hernias.
- Analysis of clinical details including location, demographics, complications, and operative findings.
Main Results:
- One rare case of bilateral spigelian hernia was observed.
- Symptoms can be non-specific, often necessitating surgical exploration for definitive diagnosis.
- Surgical intervention was generally straightforward with minimal postoperative complications.
Conclusions:
- Spigelian hernias require a high index of suspicion due to often misleading clinical presentations.
- Early diagnosis and surgical repair lead to favorable outcomes.
- Even with an intact abdominal wall, exploration is warranted if a spigelian hernia is suspected.