Ruiz-Funes MAP, Farell RJ, Marmolejo CA, Sosa LAJ, Cruz ZA

Language: Spanish
References: 32
Page: 6-14
PDF size: 365.95 Kb.

ABSTRACT

Introduction: Most abdominal wall hernias have a typical clinical onset and are located over the midline, but there’s a small group of hernias located in less frequent sites or considered rare because of its components. Objective: The objective of this study is to present a case series of patients with rare hernias repaired by laparoscopy, and compare our results to the reported results by the literature in order to confirm the security and effectiveness of this approach. Material and methods: Laparoscopic surgery was performed in seven patients with rare hernia’s diagnosis in a hospital in Mexico City. We included patients with hernias in different locations (lumbar, Spiegel, obturator or inguinal), classified as rare hernias for its location or hernia’s sac contents. Results: Minimally invasive surgery was performed in seven patients, six female and one male, all of them with rare hernias. Three patients with Spiegel hernia underwent surgery, two with a TAPP approach and one with an e-TEP with TAR approach. One patient with Petit’s hernia was included; lateral e-TEP approach was performed, with retromuscular mesh placement. One patient underwent TAPP approach in order to repair an obturator hernia. Two patients needed urgent surgery. One had an Amyand hernia and appendectomy was performed after the TAPP repair, the other had a Richter’s hernia and bowel resection with anastomosis was done after the TAPP hernia repair. Every patient had a good postoperative outcome and none of them have shown relapse or long term complications. Conclusions: Laparoscopic surgery is safe for less frequent hernia’s repair. It is associated to a faster recovery and shorter hospital stay, as well as less complications’ risk.

REFERENCES

1. HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018; 22: 1-165.

2. Rankin A, Kostusiak M, Sokker A. Spigelian hernia: Case series and review of the literature. Visc Med. 2019; 35: 133-136.

3. Henriksen NA, Kaufmann R, Simons MP et al. EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances. BJS Open. 2020; 4: 342-353.

4. Flores Funes D, De la Torre-Sánchez JA, Aguilar-Jiménez J. Hernia de Spiegel tras incisión Pfannestiel: hipótesis etiopatogénica y revisión de la literatura. Rev Hispanoam Hernia. 2018; 6: 191-194.

5. Mittal T, Kumar V, Khullar R, Sharma A, Soni V, Baijal M et al. Diagnosis and management of Spigelian hernia: A review of literature and our experience. J Min Access Surg. 2008; 4: 95-98.

6. Santorras-Fioretti AM, Vázquez-Cancelo J, Pigni-Benzo L, Salem AM, Ramos-Ardá A. Hernias de pared abdominal de localización poco frecuente. Cir Esp. 2006; 79: 180-183.

7. Tripoloni DE, Rico J, Huerta JE. Hernias poco frecuentes. Enciclopedia Médica Americana. Cir Dig. 2007; 138: 1-9.

8. Piozzi GN, Cirelli R, Maino MEM, Lenna G. Management criteria of Grynfeltt’s lumbar hernia: a case report and review of literature. Cureus. 2019; 11: e3865.

9. Graulas A, Lallemand B, Krick M. The retroperitoneoscopic repair of a lumbar hernia of petit. Case report and review of literature. Acta Chir Belg. 2004; 104: 330-334.

10. González-Rodríguez FJ, Paulos-Gómez A, López M, Conde-Freire RF, González-Vinagre S, Barreiro-Morandeira F et al. Hernia de Grynfelt. Discusión y manejo. Rev Hispanoam Hernia. 2014; 2: 63-66.

11. Liu J, Zhu Y, Shen Y, Liu S, Wang M, Zhao X et al. The feasibility of laparoscopic management of incarcerated obturator hernia. Surg Endosc. 2017; 31: 656-660.

12. De Clercq L, Coenegrachts K, Feryn T et al. An elderly woman with obstructed obturator hernia: a less common variety of external abdominal hernia. JBR-BTR. 2010; 93(6): 302-304.

13. Hodgins N, Cieplucha K, Conneally P, Ghareeb E. Obturator hernia: a case report and review of the literature. Int J Surg Case Rep. 2013; 4: 889-892.

14. Sahu D, Swain S, Wani M, Reddy PK. Amyand’s hernia: our experience in the laparoscopic era. J Minim Access Surg. 2015; 11: 151-153.

15. O’Connor A, Asaad P. De Garengeot’s hernia with appendicitis-a rare cause of an acutely painful groin swelling. J Surg Case Rep. 2019; 2019: rjz142.

16. Bidarmaghz B, Borrowdale RC, Raufian K. A rare presentation of appendicitis inside the femoral canal: case report and literature review. Surg Case Rep. 2018: 4: 143.

17. Foster D, Nagarajan S, Panait L. Richter-type Spigelian hernia: a case report and review of the literature. Int J Surg Case Rep. 2015; 6C: 160-162.

18. Ramírez CJL. Hernia de Richter. Rev Med Cos Cen. 2013; 70: 77-79.

19. Yatawatta A. Rare presentations of hernia. Hernia Surgery. 2019. doi: 10.5772/intechopen.88628.

20. Birindelli A, Sartelli M, Di Saverio S, Coccolini F, Ansaloni L, van Ramshorst GH et al. 2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias. World J Emerg Surg. 2017; 12: 37.

21. Albino FP, Patel KM, Nahabedian MY, Sosin M, Attinger CE, Bhanot P. Does mesh location matter in abdominal wall reconstruction? A systematic review of the literature and a summary of recommendations. Plast Reconstr Surg. 2013; 132: 1295-1304.

22. Claus CMP, Nassif LT, Aguilera YS, Ramos EB, Coelho JCU. Laparoscopic repair of lumbar hernia (Grynfelt): technical description. Arq Bras Cir Dig. 2017; 30: 56-59.

23. Bittner R, Bain K, Bansal VK, Berrevoet F, Bingener-Casey J, Chen D et al. Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-Part A. Surg Endosc. 2019; 33: 3069-3139.

24. Halligan S, Parker SG, Plumb AA, Windsor AC. Imaging complex ventral hernias, their surgical repair, and their complications. Eur radiol. 2018; 28: 3560-3569.

25. Orozco-Gil N, Martínez-Ballester ML, Bañuls-Matoses A, Montesinos Meliá C, Caro-Pérez F. Hernia de Petit incarcerada: a propósito de un caso. Rev Hispanoam Hernia. 2016; 4: 33-36.

26. Arca MJ, Heniford BT, Pokorny R, Wilson MA, Mayes J, Gagner M. Laparoscopic repair of lumbar hernias. J Am Coll Surg. 1998; 187: 147-152.

27. Moreno-Egea A, Baena EG, Calle MC, Martinez JA, Albasini JL. Controversies in the current management of lumbar hernias. Arch Surg. 2007; 14: 82-88.

28. Moreno-Egea A, Carrasco L, Girela E, Martín JG, Aguayo JL, Canteras M. Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial. Arch Surg. 2002; 137: 1266-1268.

29. Patil P, Kamat M, Hindalekar M. Richter’s hernia with unique presentation as obstructed inguinal hernia with bowel perforation. Bom Hosp Jour. 2012; (54): 155-158.

30. Elias B, Chelala E, Allé JL. Transabdominal laparoscopic repair of Amyand’s hernia: a case report. Case Rep Surg. 2011; 2011: 823936.

31. Rebuffat C, Galli A, Scalambra MS, Balsamo F. Laparoscopic repair of strangulated hernias. Surg Endosc. 2006; 20: 131-134.

32. Valdéz-Hernández J, Curado-Soriano A, Pérez-Sánchez A, Cintas-Cátena J, Del Río F, Gómez-Rosado JC et al. Hernias lumbares, subcostales, suprapúbicas, subxifoideas y de Spiegel. Cir Andal. 2018; 29: 121-123.