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Spigelian hernia repair as a day-case procedure
M Zuvela1, M Milicevic, D Galun
1First Surgical Clinic, Clinical Center of Serbia, Koste Todorovica 6, 11000, Beograd, Serbia.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|October 19, 2012
Summary
Elective spigelian hernia repair is safe and effective as an outpatient procedure. The open preperitoneal flat mesh technique, performed under local anesthesia, shows excellent outcomes with no complications or recurrences.
Area of Science:
- General Surgery
- Abdominal Wall Surgery
Background:
- Spigelian hernias are uncommon abdominal wall defects.
- Limited data exists on outpatient management of spigelian hernias.
Purpose of the Study:
- To evaluate the efficacy of elective spigelian hernia repair as an ambulatory procedure.
- To assess outcomes of the open preperitoneal flat mesh technique for spigelian hernias.
Main Methods:
- Prospective study of 8 patients with 9 spigelian hernias from June 2007 to June 2010.
- All repairs were performed electively under local anesthesia as day cases.
- The open preperitoneal flat mesh technique was utilized for spigelian hernia repair.
Main Results:
- No complications or recurrences were observed.
- Mean follow-up duration was 23.5 months (range: 11-35 months).
Conclusions:
- Elective spigelian hernia repair can be successfully performed as a day-case procedure under local anesthesia.
- The open preperitoneal flat mesh technique is an effective method for ambulatory spigelian hernia repair.
