Braini A, Pozzetto B, Balani A
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Trieste.
Ann Ital Chir. 1997 May-Jun;68(3):391-6.
The authors present two cases of Spigelian hernia. The patients underwent surgery, in one case with urgency modality. They repaired surgically both hernias, by a plastic of the abdominal wall. Neither postoperative mortality, nor morbidity have been observed. On follow-up, they didn't observe any relapse. Nevertheless the extreme rarity of the Spigelian hernia, the authors believe that this pathology must be considered among the different causes of the partial intestinal obstruction or acute abdomen. The diagnosis can be performed both by the simple clinical examination and by instrumental devices. Ultrasonography seems to be the most specific and the less invasive one. Recently laparoscopic approach has been emphasized; it allows to reach the diagnosis and to treat the hernia at the same time. However the authors remark that traditional surgery remains the most effective treatment.
作者介绍了两例半月线疝病例。患者接受了手术，其中一例为急诊手术。他们通过腹壁整形手术修复了两例疝。术后既未观察到死亡率，也未观察到发病率。在随访中，他们未观察到任何复发情况。尽管半月线疝极为罕见，但作者认为在部分肠梗阻或急腹症的不同病因中必须考虑到这种病理情况。诊断既可以通过简单的临床检查，也可以通过仪器设备进行。超声检查似乎是最具特异性且侵入性最小的方法。最近，腹腔镜手术方法受到了重视；它可以同时实现诊断和治疗疝。然而，作者指出传统手术仍然是最有效的治疗方法。
