Zacharoulis Dimitrios, Sioka Eleni
1 Department of Surgery, University Hospital of Larissa, University of Thessaly , Larissa, Greece .
2 Department of Surgery, Iaso Thessalias, Larissa, Greece .
J Laparoendosc Adv Surg Tech A. 2018 Feb;28(2):201-203. doi: 10.1089/lap.2017.0009. Epub 2017 Apr 26.
Spigelian hernia represents a rare entity. Traditionally, it was repaired by the open technique. Various laparoscopic techniques have emerged periodically. Most laparoscopic repairs use the technique of placing an intraperitoneal onlay mesh (IPOM). There is currently a tendency to close the hernia defect.
A 68-year-old man was admitted to our hospital complaining of vague abdominal pain and discomfort. Physical examination revealed a bulky palpable mass on the left side of the patient. Computed tomography of abdomen revealed a left-sided incarcerated spigelian hernia containing bowel. The aim of this study was to report an educational video providing a successful laparoscopic IPOM-plus technique with muscles approximation of spigelian hernia repair step by step.
Total operative time was 120 minutes. The postoperative period was uneventful. The patient reported no pain and the cosmetic result was excellent. No bulging or seroma was noted. The patient was discharged on postoperative day 1.
The IPOM-plus technique may improve the outcome of spigelian hernia repair.
半月线疝是一种罕见的病症。传统上，它通过开放技术进行修复。各种腹腔镜技术也周期性地出现。大多数腹腔镜修复采用腹腔内补片植入（IPOM）技术。目前有一种关闭疝缺损的趋势。
一名68岁男性因腹部隐痛和不适入住我院。体格检查发现患者左侧有一个可触及的肿块。腹部计算机断层扫描显示左侧嵌顿性半月线疝，疝内容物为肠管。本研究的目的是报告一段教学视频，逐步展示成功的腹腔镜IPOM加肌肉缝合技术修复半月线疝的过程。
总手术时间为120分钟。术后过程顺利。患者报告无疼痛，美容效果极佳。未发现隆起或血清肿。患者术后第1天出院。
IPOM加技术可能会改善半月线疝修复的效果。
