title: Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial.
abstract: OBJECTIVE
  The elective treatment of a spigelian hernia is still under discussion, fundamentally owing to its rarity. The purpose of the study is to analyze the elective surgical treatment of spigelian hernia.
  
  
  METHODS
  A prospective, randomized controlled trial.
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  Two surgeons performed 11 conventional and 11 laparoscopic repairs for a spigelian hernia, alternating roles as primary surgeon and assistant. Each time the type of technique was randomly chosen using a computerized program.
  
  
  METHODS
  Epidemiological, clinical, and surgical factors are analyzed according to treatment, ie, the open or laparoscopic approach.
  
  
  RESULTS
  The statistical study shows no significant differences for epidemiological or diagnostic factors, but it does show significant advantages for laparoscopy in terms of morbidity (P<.05) and hospital stay (P<.001).
  
  
  CONCLUSIONS
  The approach using extraperitoneal laparoscopy is the technique that offers best results in the elective treatment of spigelian hernia.
authors.affiliation: Abdominal Wall Unit and Laparoscopy, Department of General Surgery, J.M. Morales Meseguer Hospital, Murcia, Spain. amorenoe@worldonline.es
authors.forename: Alfredo
authors.initials: A
authors.lastname: Moreno-Egea
authors.forename: Luis
authors.initials: L
authors.lastname: Carrasco
authors.forename: Enrique
authors.initials: E
authors.lastname: Girela
authors.forename: Juan-Gervasio
authors.initials: JG
authors.lastname: Martín
authors.forename: José L
authors.initials: JL
authors.lastname: Aguayo
authors.forename: Manuel
authors.initials: M
authors.lastname: Canteras
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome