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Laparoscopic Spigelian Hernia Repair: A Systematic Review
Thomas G Barnes1, Douglas L McWhinnie
1Department of General Surgery, Milton Keynes University Hospital, Standing Way, Milton Keynes, UK.
Laparoscopic repair of Spigelian hernias (SHs) is a safe and effective surgical option. The intraperitoneal onlay mesh technique is currently the most popular method for SH repair.
Area of Science:
- Abdominal wall surgery
- Minimally invasive surgical techniques
- Hernia repair
Background:
- Spigelian hernias (SHs) constitute 1-2% of abdominal wall hernias.
- Open repair has been the traditional method.
- Laparoscopic techniques have gained popularity since 1992.
Purpose of the Study:
- To review current trends in laparoscopic repair of Spigelian hernias (SHs).
- To synthesize evidence on various laparoscopic techniques for SH repair.
Main Methods:
- Systematic review of MEDLINE and EMBASE databases.
- Inclusion of papers describing laparoscopic repair of SHs.
- Analysis of 50 identified articles.
Main Results:
- Two hundred thirty-seven SHs were repaired using various laparoscopic techniques.
- No randomized controlled trials comparing laparoscopic methods were found.
- The intraperitoneal onlay mesh technique was the most frequent method, reporting minimal complications and recurrences.
Conclusions:
- Multiple laparoscopic techniques exist for SH repair.
- Laparoscopic repair of SHs is a safe and acceptable surgical approach.
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