Laparoscopic Transabdominal Preperitoneal Repair of Spigelian Hernia: Case Report
Laparoscopic Transabdominal Preperitoneal Repair of Spigelian Hernia: Case Report作者机构：General Surgery Department Hospital Angeles Clínica Londres Mexico City Mexico Anesthesiology Department Hospital Angeles Clínica Londres Mexico City Mexico General Surgery Resident Hospital Angeles Lomas Mexico’s State Mexico
出 版 物：《Surgical Science》 (外科学（英文）)
年 卷 期：2021年第12卷第12期
页 面：404-410页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Spigelian Hernia Hernia of the Semilunar Line Laparoscopic Hernia Repair Ventral Hernia
摘 要：Spigelian Hernia (SH) is an uncommon anterior abdominal wall defect, it represents 0.1%-2% of all abdominal wall hernias. SHs have been traditionally repaired by open technique, but laparoscopic approaches are becoming more common and widely described in the literature. Here we present a case report of a 69-year-old woman who presented with abdominal pain, nausea, abdominal distention and absence of bowel movements for 2 days. A computed tomography performed in an external facility revealed a right-sided and incarcerated SH containing bowel and mesentery. The patient was treated surgically and the abdominal wall defect was repaired by a laparoscopic transabdominal preperitoneal (TAPP) approach. The patient was discharged 24 hours after surgery in excellent conditions. We hold that the TAPP approach is anatomically the soundest repair, with all the added benefits of minimally invasive surgery.
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