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[Traumatic Spigelian hernia. Elective extraperitoneal laparoscopic repair].

Alfredo Moreno-Egea1, Alvaro Campillo-Soto, Enrique Girela-Baena

  • 1Servicio de Cirugía General y de Radiología, Hospital J.M. Morales Meseguer, Murcia, Spain. moreno-agea@ono.com

Cirugia Espanola
|January 24, 2006
PubMed
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Traumatic Spigelian hernias are rare and typically require open surgery. This case highlights successful delayed extraperitoneal laparoscopic repair for a high-lying Spigelian hernia, offering cosmetic benefits.

Area of Science:

  • Abdominal surgery
  • Minimally invasive procedures
  • Hernia repair

Background:

  • Traumatic Spigelian hernias are infrequent and usually managed surgically during the initial admission.
  • Standard treatment often involves open surgical repair.

Observation:

  • A case of a Spigelian hernia at a high anatomical position, resulting from trauma.
  • The hernia presented with a skin lesion and a preperitoneal hematoma.
  • Delayed surgical management was chosen.

Findings:

  • The patient underwent delayed extraperitoneal laparoscopic repair.
  • This approach successfully treated the high-lying Spigelian defect.
  • A modification to the standard laparoscopic technique was employed to access the high defect.

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Implications:

  • Elective laparoscopic repair can be advantageous in specific traumatic hernia cases, avoiding surgery in compromised tissue.
  • This technique offers significant cosmetic benefits for patients.
  • The modified approach facilitates access to challenging, high-located Spigelian hernias.