Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial.
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.
Moreno-Egea
Alfredo
A
Abdominal Wall Unit and Laparoscopy, Department of General Surgery, J.M. Morales Meseguer Hospital, Murcia, Spain. amorenoe@worldonline.es
Carrasco
Luis
L
Girela
Enrique
E
Martín
Juan-Gervasio
JG
Aguayo
José L
JL
Canteras
Manuel
M
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