Cervantes J, Rojas G, Menéndez A, Cicero A, Vidal P

Language: Spanish
References: 11
Page: 65-68
PDF size: 165.02 Kb.

ABSTRACT

Spiegel hernias are a rare condition that occurs in the lateral border of the abdominal rectus muscle and the medial border of the transversal abdominal muscle, but they generally appear in the semicircular line. This study evaluates the incidence, presentation, diagnosis and treatment of this pathology. Patient and methods: A retrospective study of clinical records of all patients from January 1968 to July 2004 with diagnosis of Spiegel hernia. Variables as sex, age, localization and symptoms were considered. Results: Six patient were found, three men an three women, with an average age of 42.8 years. 66% presented localized pain that increased with Valsalva maneuver. 66% presented a localized mass. Emergency surgery was done in 50%: two presented incarcerated hernias and one had severe pain. 50% were elective procedures. All of the cases were in the right side and only one patient had an associated inguinal hernia. Average surgical time was 45 minutes. There were no complications. Conclusions: Spiegel hernias account for 0.12 to 2% of all the abdominal wall hernias. Patients usually had pain or increased localized volume. Diagnosis can be difficult; the use of CT scan or ultrasound may be helpful. Surgical treatment is easy an generally does not require the use of mesh.

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