Kienzle H F, Staemmler S
Fortschr Med. 1978 Apr 27;96(16):376-9.
It is reported about 12 patients with hernias through the spigelian fascia, among them one case with a rare bilateral hernia. The cause of these hernias are congenital or acquired gaps in the fascia transversalis medial to the linea semilunaris. Mostly they are discovered below the umbilicus in the height of the linea semicircularis, lateral to the rectussheath and medial to the spigelian line. All clinical details are shown in a table (Tab. 1). There is referred about localisation, sex, age, complications before operation (e.g. incarceration), complaints of the patients and operative findings. The results correspond to those of other authors. Seldom a spigelian hernia is noticed in children. To diagnose a spigelian hernia it is very important to think of it, for the symptoms are often not very characteristically and the clinical findings misleading. At times only operation reveals the real diagnosis. The operation is often simple and remaining complaints are very seldom; we didnt see any. Sometimes the operative finding requires an extensive laparotomia and bowel resection. If one finds the abdominal wall intact, one should open the abdomen in every case.
据报道，有12例患者发生半月线筋膜疝，其中1例为罕见的双侧疝。这些疝的病因是半月线内侧腹横筋膜的先天性或后天性缺损。多数情况下，它们在脐下半月线高度被发现，位于腹直肌鞘外侧和半月线内侧。所有临床细节见表1。表中列出了疝的位置、性别、年龄、术前并发症（如嵌顿）、患者主诉及手术所见。结果与其他作者的相符。小儿半月线疝很少见。要诊断半月线疝，关键是要想到它，因为其症状往往不典型，临床检查结果也容易误导诊断。有时只有手术才能揭示真正的诊断。手术通常很简单，术后残留症状极少；我们未见到此类情况。有时手术所见需要进行广泛的剖腹术和肠切除。如果发现腹壁完整，无论如何都应打开腹腔。
