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HERNIA EPIGASTRICA TECNICA QUIRURGICA PDF

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HERNIAS DE LA PARED ABDOMINAL ZONAS DEBILES DE LA PARED ABDOMINAL 1. Hernia epigástrica. 2. Hernia umbilical. 3. Hernia. Objective: Spigelian hernia is an uncommon abdominal wall defect. La técnica quirúrgica dependerá de las características del paciente, la hernia y la. H. epigástrica. . TÉCNICA LAPAROSCÓPICA• visualizar el defecto de la hernia y la anatomía circundante con claridad y ampliación.

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Epidemiological aspects, diagnostic methods, surgical technique characteristics, morbidity, hospital stay, recurrences and hernis up are analyzed. Nevarez Noboa and A. However it could be difficult to identify them during the physical examination as the hernia sac is located beneath the aponeurosis of the external oblique. Twenty five patients The presence of any of these situations tednica be regarded as a starting point for correctly orienting clinical history and should lead to the diagnosis.

Tècnica Quirurgica de Pared Abdominal by Krizz Luque Mora on Prezi

Clinical diagnosis does require a high index of suspicion. Although congenital cases epigastrca been described the most of Spigelian hernias are acquired and some risk factors are related to it, such as obesity, COPD, presence of other hernias and abdominal traumas 2,3.

Vos D, Scheltinga M. Rev Cubana Cir ; 44 4. Ultrasonography can establish the diagnosis but provides less specificity than CT scan as has quite false negatives in obesity patients. Rev Esp Enf Ap Digest ; Incidence and outcome of surgical repair of spigelian hernia.

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J Ultrasound Med ; Rev Esp Enferm Dig ; 99 9: InCarter y Mizes performed the first intra-abdominal laparoscopic correction 20 and inSalvador et al published the first one in Spain Postoperative morbidity is very low. It is also called spontaneous lateral ventral hernia, hernia of semilunar line, hernia of the conjoint tendon or interstitial ventral hernia.

Quirurgiica authors’ own experience and a review of the literature.

Results Between January and December39 patients underwent surgery for Spigelian hernia. Minerva Chir ; There are no significant differences in literature about their right or left location and there aren’t in our series either. Modality of laparoscopic treatment is still on discussion.

Diagnosis and management of Spigelian hernia: Rev Esp Enferm Dig ; Evaluation of spigelian hernia by CT. The Spigelian hernia SH takes its name from the French anatomist Adriaan van Spieghel, who described the semilunar line for the first time in In addition to previous or concomitant hernias as a risk factor we have also looked for other medical conditions such as COPD or prior abdominal surgery. Personal experience and review of the literature Hernias de Spiegel. Carter JE, Mizes C.

Subsequently Moles Morenilla et al made a bibliographic review of Spanish literature in that included patients 1.

Some authors obtain without mesh as good results as with it, and they currently recommend mesh-free repair, either for conventional repair like Hsieh 23 or for laparoscopy repair like Bittner We carried out a retrospective review of patients operated on from to at our Hospital.

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Mesh-free laparoscopic spigelian hernia repair. Rev Esp Enferm Dig ; 97 5: J Minim Access Surg ; 4 4: Most of these hernias occur distal to the umbilicus, within the spigelian hernia belt or Spangen area which is a transverse band between the line joining both anterior superior iliac spines and a parallel line 6 cm cranial at the level of the umbilicus 1,2.

A review of literature and our experience. Diagnosis of Spigelian hernia is basically clinic. Spigelian hernia is an uncommon variety of abdominal wall defect.

Two treatment modalities can be used, transperitoneal so called intra-abdominal and extraperitoneal. La morbilidad postoperatoria es escasa.

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Mean hospital stay was 2. After that laparoscopic approach has been widely described in literature. All of our patients had symptomatic SH. Quirurbica J Surg ; Ruiz de la Hermosa, I. Arch Surg ; After this report only isolated cases, congenital SH associated with cryptorchidism or the Satorras-Fioretti review about abdominal wall hernias of unusual presentation which included 12 patients with Spigelian hernia 6 have been published.