Welter H F
Chirurgische Abteilung, Tagesklinik München-Nord.
Chirurg. 1994 Oct;65(10):898-9.
The Spigelian hernia occurs where the vertical linea semilunaris, along the lateral border of the rectus muscle, joins the linea semicircularis. The hernia lies in the soft tissue under the aponeurosis of the oblique abdominis muscle; incision of that layer can be avoided by laparoscopic techniques. In this case the hernial canal was closed, firstly with single titanium staples, and secondly with a continuous laparoscopic suture using resorbable material. In suspicious cases laparoscopy should be performed to confirm the diagnosis of a Spigelian hernia. Laparoscopic hernial repair should be evaluated by further usage of this technique.
半月线疝发生在腹直肌外侧缘的垂直半月线与半月线相交处。疝位于腹外斜肌腱膜下的软组织内；通过腹腔镜技术可以避免切开该层。在本病例中，疝囊首先用单个钛钉闭合，其次用可吸收材料进行连续腹腔镜缝合。在可疑病例中，应进行腹腔镜检查以确诊半月线疝。应通过进一步应用该技术来评估腹腔镜疝修补术。
