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Published on: September 11, 2021
Laparoscopic management of spigelian hernias
Christos Skouras1, Sanjay Purkayastha, Long Jiao
1Department of HPB Surgery, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK.
Summary
Laparoscopic surgery for spigelian hernias offers a safe and effective treatment option. This minimally invasive approach demonstrates low morbidity and short hospital stays, making it a viable alternative to open surgery.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Spigelian hernias are uncommon abdominal wall defects.
- Traditional treatment involves open surgical repair.
- Laparoscopic techniques are increasingly utilized for hernia management.
Purpose of the Study:
- To review the evidence on the safety and effectiveness of laparoscopic management for spigelian hernias.
- To compare laparoscopic outcomes with traditional open surgical approaches.
Main Methods:
- Systematic literature search conducted across multiple databases (Medline, PubMed, Ovid, Embase, Cochrane, Google Scholar).
- Inclusion of English-language articles reporting on laparoscopic spigelian hernia repair.
- Analysis of data from 33 identified articles.
Main Results:
- A total of 84 cases of successfully managed spigelian hernias were reported between 1992 and 2009.
- Zero recurrence rates were observed.
- Minimal patient morbidity (2.3%) and short hospital stays were documented.
Conclusions:
- The laparoscopic approach is a safe and effective method for managing spigelian hernias.
- This approach is suitable for both elective and emergency surgical settings.
- Evidence supports the adoption of laparoscopic techniques for spigelian hernia repair.
