Rath Alok, Bhatia Parveen, Kalhan Sudhir, John Suviraj, Khetan Mukund, Bindal Vivek, Ali Asfar, Singh Rahul, Wadhera Sushant, Bansal Nikunj
Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Asian J Endosc Surg. 2013 Aug;6(3):253-6. doi: 10.1111/ases.12026.
Spigelian hernias, also known as spontaneous lateral ventral hernias, are rare primary ventral hernias arising in the Spigelian, or semilunar, line located at the lateral border of recti. Because of its varied presentation, clinical examination is often inconclusive. Traditional repair of such hernias use the open approach. Herein we report on three cases of Spigelian hernias. All were diagnosed and treated laparoscopically at our institution between March 2011 and June 2012. Multiple surgeons performed the repairs using the laparoscopic transabdominal preperitoneal technique of mesh reinforcement and reperitonization. There were no perioperative or postoperative complications. All three were discharged 1 day postoperatively. A complete resolution of preoperative symptoms was observed at follow-up at 1 week, 1 month and 6 months. Laparoscopic transabdominal preperitoneal repair of Spigelian hernia is safe, easy, and feasible for experienced laparoscopic surgeons.
半月线疝，又称自发性侧腹壁疝，是一种罕见的原发性腹壁疝，发生于位于腹直肌外侧缘的半月线。由于其表现多样，临床检查往往难以确诊。此类疝的传统修复采用开放手术方法。在此，我们报告3例半月线疝病例。2011年3月至2012年6月期间，所有病例均在我院接受腹腔镜诊断及治疗。多位外科医生采用腹腔镜经腹腹膜前补片加强修补术进行修复。无围手术期或术后并发症。所有3例患者均于术后1天出院。在术后1周、1个月和6个月的随访中，术前症状均完全消失。对于有经验的腹腔镜外科医生而言，腹腔镜经腹腹膜前修补半月线疝安全、简便且可行。
