Related Experiment Video
Updated: Feb 5, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
7.5K
A new hybrid mini-laparoscopic technique for Spigelian hernia
Gustavo Lopes Carvalho1, Gustavo Henrique Belarmino Góes2, Raquel Nogueira Cordeiro3
1Department of General Surgery, Faculty of Medical Sciences, University of Pernambuco; Member of UNIPECLIN (Clinical Research Group of the University of Pernambuco), University of Pernambuco; Videolaparoscopic Surgery Clinic Gustavo Carvalho, Recife, Brazil.
Journal of Minimal Access Surgery
|September 5, 2018
Summary
This study presents a novel hybrid mini-laparoscopic technique for treating Spigelian hernia (SH) and inguinal hernia in a patient with hepatic cirrhosis. The successful surgical approach ensured a rapid recovery with no complications.
Area of Science:
- Abdominal surgery
- Minimally invasive techniques
- Hernia repair
Background:
- Spigelian hernia (SH) presents as a bulge in the anterolateral abdominal wall.
- Concurrent inguinal hernias can complicate surgical management.
- Hepatic cirrhosis necessitates tailored surgical approaches.
Purpose of the Study:
- To describe an original hybrid mini-laparoscopic technique for treating a complex Spigelian hernia.
- To address the simultaneous repair of a large inguinal hernia in a patient with Child-A hepatic cirrhosis.
- To evaluate the safety and efficacy of this novel approach.
Main Methods:
- Diagnosis of Spigelian hernia confirmed via ultrasound.
- Hybrid mini-laparoscopic approach utilizing a harmonic scalpel.
- Primary closure of hernia defects followed by preperitoneal polypropylene mesh placement and fixation.
- Simultaneous repair of a homolateral inguinal hernia.
Main Results:
- Successful surgical repair of both Spigelian and inguinal hernias.
- No intraoperative or postoperative complications reported.
- Patient discharged the day after the procedure with an excellent outcome.
Conclusions:
- The described hybrid mini-laparoscopic technique is a viable and safe option for complex Spigelian hernia repair in patients with hepatic cirrhosis.
- This approach effectively manages concurrent inguinal hernias.
- Minimally invasive surgery can lead to rapid recovery even in patients with significant comorbidities.
Related Concept Videos
02:29Hybrid Zones
21.9K
Hybrid zones are narrow regions where two closely related species interact, mate, and produce hybrids. Relative to either parent species, hybrids may possess distinct phenotypic or genetic differences that impact their survival and reproductive success. The genetic variances introduced by hybridization influence species diversity and speciation processes within the hybrid zone.
21.9K
03:24Hybridization of Atomic Orbitals I
67.6K
The mathematical expression known as the wave function, ψ, contains information about each orbital and the wavelike properties of electrons in an isolated atom. When atoms are bound together in a molecule, the wave functions combine to produce new mathematical descriptions that have different shapes. This process of combining the wave functions for atomic orbitals is called hybridization and is mathematically accomplished by the linear combination of atomic orbitals. The new orbitals that...
67.6K
03:35Hybridization of Atomic Orbitals II
49.2K
sp3d and sp3d 2 Hybridization
49.2K
02:31In-situ Hybridization
10.6K
In situ hybridization (ISH) is a technique used to detect and localize specific DNA or RNA molecules in cells, tissue, or tissue sections using a labeled probe. The technique was first used in 1969 for the investigation of nucleic acids. It is currently an essential tool in scientific research and clinical settings, especially for diagnostic purposes.
Types of probes and labels
A probe is a complementary strand of DNA or RNA that binds to corresponding nucleotide sequences in a cell. Many...
Types of probes and labels
A probe is a complementary strand of DNA or RNA that binds to corresponding nucleotide sequences in a cell. Many...
10.6K
01:21IR Absorption Frequency: Hybridization
1.3K
Hydrocarbons such as alkanes, alkenes, and alkynes show characteristic C–H stretching absorption bands. These IR stretching frequencies depend on the hybridization of the involved carbon atom and can be explained in terms of the s character of each hybridized atomic orbital.
Among the sp, sp2, and sp3 hybridized orbitals, sp orbitals have the maximum s character (50%). Consequently, the electrons are held more closely to the nucleus, resulting in stronger and shorter C–H bonds that...
Among the sp, sp2, and sp3 hybridized orbitals, sp orbitals have the maximum s character (50%). Consequently, the electrons are held more closely to the nucleus, resulting in stronger and shorter C–H bonds that...
1.3K
02:16Resonance and Hybrid Structures
26.7K
According to the theory of resonance, if two or more Lewis structures with the same arrangement of atoms can be written for a molecule, ion, or radical, the actual distribution of electrons is an average of that shown by the various Lewis structures.
Resonance Structures and Resonance Hybrids
The Lewis structure of a nitrite anion (NO2−) may actually be drawn in two different ways, distinguished by the locations of the N–O and N=O bonds.
Resonance Structures and Resonance Hybrids
The Lewis structure of a nitrite anion (NO2−) may actually be drawn in two different ways, distinguished by the locations of the N–O and N=O bonds.
26.7K