[Spigelian hernia. Diagnosis and surgical treatment].
Spigelian hernia (SH) is a rare partial abdominal wall defect; its manifestation is rare. Seven cases were observed--4 females and 3 males with mean age of 56.5 years (range 38-65)--in 857 patients operated for hernia (0.8%) between 1995 and 2003. Ultrasound examination avoid the diagnosis and marked the fascial defect, measuring diameter and sac contents. In all cases a surgical approach with an epicritic incision has be done and the fascia defect closed with properitoneal and subfascial polypropylene mesh (Prolene Hernia System, PHS). All patients underwent to follow-up demonstrating no recurrences or complications like mesh suppuration or dislocation.
Azienda USL 5-Oristano, Ospedale S. Martino, Unità Operativa di Chirurgia Generale.
A
A
Baccoli
P
P
Manni
M
M
Sau
G
G
Casula
M
M
Tuveri
A
A
Tuveri
D000328:Adult; D000368:Aged; D005260:Female; D006555:Hernia, Ventral / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D016896:Treatment Outcome; D014463:Ultrasonography