Spigelian hernia repair as a day-case procedure.
OBJECTIVE
Only a few series of patients with a spigelian hernia managed on an outpatient basis have been reported in the literature. The aim of this prospective study was to evaluate the results of the elective spigelian hernia repair as an ambulatory procedure.


METHODS
From June 2007 to June 2010, 8 patients with 9 spigelian hernias were electively operated on under local anesthesia as a day case. Four patients had unilateral spigelian hernia, 1 had spigelian and inguinal on the same side, 1 had spigelian and epigastric, 1 had spigelian and umbilical, and 1 patient had bilateral spigelian and umbilical hernia. Spigelian hernia was managed by the "open preperitoneal flat mesh technique." In patients with several ventral hernias at different sites, "the open preperitoneal flat mesh technique" was performed using one separate flat mesh for each of the hernias; for the patient with inguinal hernia, the Lichtenstein procedure was performed in addition.


RESULTS
No complications and recurrences were recorded during a mean follow-up of 23.5 months (range: 11-35).


CONCLUSIONS
The elective spigelian hernia can be successfully repaired under local anesthesia as a day-case procedure. The "open preperitoneal flat mesh technique" provides excellent results under these conditions.
First Surgical Clinic, Clinical Center of Serbia, Koste Todorovica 6, 11000, Beograd, Serbia.
M
M
Zuvela
M
M
Milicevic
D
D
Galun
A
A
Djuric-Stefanovic
P
P
Bulajic
I
I
Palibrk
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D000772:Anesthesia, Local; D002045:Bupivacaine / Q000031:analogs & derivatives; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D000077554:Levobupivacaine; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011343:Procaine; D011446:Prospective Studies; D013526:Surgical Mesh; D055815:Young Adult
D011343:Procaine; D000077554:Levobupivacaine; D002045:Bupivacaine