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半月线疝:34例连续患者基线参数及手术结果的前瞻性分析

Spigelian hernias: a prospective analysis of baseline parameters and surgical outcome of 34 consecutive patients.

作者信息

Malazgirt Z, Topgul K, Sokmen S, Ersin S, Turkcapar A G, Gok H, Gonullu N, Paksoy M, Ertem M

机构信息

Department of Surgery, Ondokuz Mayis University, 55139 Samsun, Turkey.

出版信息

Hernia. 2006 Aug;10(4):326-30. doi: 10.1007/s10029-006-0103-5. Epub 2006 Jun 13.

DOI:10.1007/s10029-006-0103-5
PMID:16770517
Abstract

Most of the papers published on spigelian hernia are either case reports or small retrospective series. In this prospective multicenter study, we aimed to outline the specific features of spigelian hernias and patients' characteristics more clearly. Surgeons enrolled patients to be entered into the database as they diagnosed and treated the hernias at will. The baseline and surgical outcome parameters were noted in each patient. A painful mass was the main presenting complaint in half of 34 patients. Accurate preoperative diagnosis was possible in 31 patients. Open intraperitoneal mesh repair was the preferred technique. The mean hospital stay and time until return to normal daily activities were 4.1 and 15.6 days. Although a rare condition, diagnosis of a spigelian hernia is not difficult once remembered. Its surgical repair seems to cause few complications and is very well tolerated by the patient.

摘要

大多数关于半月线疝的发表论文要么是病例报告,要么是小型回顾性系列研究。在这项前瞻性多中心研究中,我们旨在更清晰地勾勒出半月线疝的具体特征和患者特点。外科医生在诊断和治疗疝时随意将患者纳入数据库。记录了每位患者的基线和手术结果参数。34例患者中有一半主要表现为疼痛性肿块。31例患者能够进行准确的术前诊断。开放腹膜内补片修补术是首选技术。平均住院时间和恢复正常日常活动所需时间分别为4.1天和15.6天。尽管半月线疝是一种罕见疾病,但一旦记住,其诊断并不困难。其手术修复似乎很少引起并发症,且患者耐受性良好。

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Spigelian hernias: a prospective analysis of baseline parameters and surgical outcome of 34 consecutive patients.半月线疝:34例连续患者基线参数及手术结果的前瞻性分析
Hernia. 2006 Aug;10(4):326-30. doi: 10.1007/s10029-006-0103-5. Epub 2006 Jun 13.
2
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引用本文的文献

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Spigelian hernia: a multi-site review of operative outcomes of surgical repair in the adult population.Spigelian 疝:成人外科修补手术治疗结局的多部位回顾性研究。
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Diagnosis and treatment of a rare case of an incarcerated bilateral Spigelian hernia with the vermiform appendix and caecum.

本文引用的文献

1
Spigelian hernia.半月线疝
Hernia. 2005 Mar;9(1):3-5. doi: 10.1007/s10029-004-0280-z. Epub 2004 Dec 21.
2
Incidence and outcome of surgical repair of spigelian hernia.
Br J Surg. 2004 May;91(5):640-4. doi: 10.1002/bjs.4524.
3
Spigelian and other uncommon hernia repairs.半月线及其他罕见疝修补术。
Surg Clin North Am. 2003 Oct;83(5):1235-53, viii. doi: 10.1016/S0039-6109(03)00130-0.
诊断和治疗一例罕见的双侧 Spigelian 疝嵌顿合并阑尾和盲肠的病例。
BMJ Case Rep. 2023 Aug 8;16(8):e251931. doi: 10.1136/bcr-2022-251931.
4
Spigelian hernias: A high volume institutional review.半月线疝:一项高病例数的机构回顾研究。
Surg Open Sci. 2023 Apr 28;13:75-81. doi: 10.1016/j.sopen.2023.04.009. eCollection 2023 Jun.
5
Outcomes After Spigelian Hernia Repair: A Nationwide Database Study.半月线疝修补术后的结局:一项全国性数据库研究
World J Surg. 2023 May;47(5):1184-1189. doi: 10.1007/s00268-023-06923-8. Epub 2023 Feb 7.
6
Spigelian hernia: current approaches to surgical treatment-a review.旋髂窝疝:当前手术治疗方法的探讨。
Hernia. 2022 Dec;26(6):1427-1433. doi: 10.1007/s10029-021-02511-8. Epub 2021 Oct 19.
7
Single-incision laparoscopic repair for an arcuate line hernia: a case report.单切口腹腔镜修复弓状线疝:一例报告。
Surg Case Rep. 2021 Aug 26;7(1):196. doi: 10.1186/s40792-021-01281-w.
8
Strangulated spigelian hernia with necrosis of the caecum, appendix and terminal ileum: an unusual presentation in the elderly.伴有盲肠、阑尾和回肠末端坏死的绞窄性半月线疝:老年人中的一种罕见表现
J Surg Case Rep. 2020 Jun 25;2020(6):rjaa115. doi: 10.1093/jscr/rjaa115. eCollection 2020 Jun.
9
EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances.EHS 和 AHS 治疗罕见部位或特殊情况下原发性腹侧疝的指南。
BJS Open. 2020 Apr;4(2):342-353. doi: 10.1002/bjs5.50252. Epub 2020 Jan 9.
10
A rare case of Spigelian hernia combined with direct and indirect inguinal hernias.一例罕见的半月线疝合并腹股沟直疝和斜疝病例。
Turk J Surg. 2015 Jun 19;33(1):40-42. doi: 10.5152/UCD.2015.2793. eCollection 2017.
4
Preperitoneal mesh repair of spigelian hernias under local anesthesia: description and clinical evaluation of a new technique.
Hernia. 2003 Dec;7(4):202-5. doi: 10.1007/s10029-003-0153-x. Epub 2003 Sep 20.
5
Spigelian hernia: bibliographical study and presentation of a series of 28 patients.半月线疝:文献研究及28例病例报告
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6
Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial.白线疝开放修补术与腹腔镜修补术:一项前瞻性随机试验
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7
Treatment of spigelian hernia using totally extraperitoneal laparoscopy ambulatory surgery.
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8
Spigelian hernias: repair and outcome for 81 patients.半月线疝:81例患者的修复及结果
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9
Incarcerated Spigelian hernia following laparoscopic living-donor nephrectomy.腹腔镜活体供肾肾切除术后闭孔疝
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Lateral laparoscopic port sites should all be closed: the incisional "spigelian" hernia.腹腔镜外侧穿刺孔部位均应关闭:切口性“半月线”疝。
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