Moreno-Egea Alfredo, Carrasco Luis, Girela Enrique, Martín Juan-Gervasio, Aguayo José L, Canteras Manuel
Abdominal Wall Unit and Laparoscopy, Department of General Surgery, J.M. Morales Meseguer Hospital, Murcia, Spain.
Arch Surg. 2002 Nov;137(11):1266-8. doi: 10.1001/archsurg.137.11.1266.
The elective treatment of a spigelian hernia is still under discussion, fundamentally owing to its rarity. The purpose of the study is to analyze the elective surgical treatment of spigelian hernia.
A prospective, randomized controlled trial.
University teaching hospital.
Two surgeons performed 11 conventional and 11 laparoscopic repairs for a spigelian hernia, alternating roles as primary surgeon and assistant. Each time the type of technique was randomly chosen using a computerized program.
Epidemiological, clinical, and surgical factors are analyzed according to treatment, ie, the open or laparoscopic approach.
The statistical study shows no significant differences for epidemiological or diagnostic factors, but it does show significant advantages for laparoscopy in terms of morbidity (P<.05) and hospital stay (P<.001).
The approach using extraperitoneal laparoscopy is the technique that offers best results in the elective treatment of spigelian hernia.
由于半月线疝极为罕见，其择期治疗仍存在争议。本研究旨在分析半月线疝的择期手术治疗。
一项前瞻性随机对照试验。
大学教学医院。
两名外科医生对11例半月线疝患者进行了传统修补术和11例腹腔镜修补术，两人轮流担任主刀医生和助手。每次使用计算机程序随机选择手术技术类型。
根据治疗方式（即开放手术或腹腔镜手术）分析流行病学、临床和手术因素。
统计学研究表明，在流行病学或诊断因素方面无显著差异，但在发病率（P<0.05）和住院时间（P<0.001）方面，腹腔镜手术具有显著优势。
腹膜外腹腔镜手术是半月线疝择期治疗中效果最佳的技术。
