Twelve years of experience treating Spigelian hernia
Francesco A Polistina1, Greta Garbo2, Paolo Trevisan3
1Department of General Surgery, Monselice Hospital, Monselice, Italy.
Surgery
|February 7, 2015
Summary
Spigelian hernia (SH) repair outcomes were analyzed in 28 patients. Surgical approach did not significantly impact complications or recurrence, though laparoscopy caused temporary pain.
Area of Science:
- Abdominal Surgery
- Hernia Repair
- Surgical Outcomes
Background:
- Spigelian hernia (SH) is an acquired ventral hernia.
- Often asymptomatic, SH can lead to bowel obstruction if strangulated.
Purpose of the Study:
- Evaluate complications, recurrence, and hospital stay in SH patients.
- Compare outcomes based on clinical presentation and operative techniques.
Main Methods:
- Retrospective review of 28 SH patients (2002-2013).
- Analysis of operative techniques (open-direct vs. laparoscopic).
- Assessment of comorbidities, BMI, presentation, and outcomes.
Main Results:
- Overall complication rate: 7.6%, recurrence rate: 3.8% (3-year follow-up).
- Median hospital stay was 1 day; local complications impacted stay length.
- No significant impact of variables on hernia recurrence.
Conclusions:
- No significant differences in outcomes between operative techniques.
- Laparoscopy may cause transient early postoperative pain.
