ORIGINAL ARTICLE   

Chirurgia 2021 August;34(4):162-5

DOI: 10.23736/S0394-9508.20.05157-8

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Laparoscopy versus open surgery in treatment of Spigelian hernias

Serdar GUMUS ✉, Kubilay DALCI

Department of Surgical Oncology, Cukurova University, Adana, Turkey

BACKGROUND: In the present study, we report two-center experience in the surgical treatment of Spigelian hernia (SH). Our aim was to review the diagnostic methods, and the mode of surgery, and the long-term outcome of these patients.
METHODS: Between January 2016 and December 2019, 10 SH cases were analyzed retrospectively. The incisional hernias and out of semilunar line hernias excluded from the study.
RESULTS: Mean follow-up was 22.3±17.1 months. Of all patients, 6 were female and 4 were male and mean age was 53.3±18.34 (range: 22-79) years. The SH was right-sided in 30% and left-sided in 60%, and bilaterally in 10% of the cases. Computed tomography was performed 90% of cases. 2 patients (20%) underwent emergency surgery due to incarceration. Laparoscopic intraperitoneal onlay mesh repair was performed in 4 patients and open sublay mesh repair in 6 patients. Laparoscopic cases had shorter length of stay in the hospital (3.3±1.5 days). Seroma and wound infection was seen in 3 patients and no mortality be registered. Recurrence observed in one patient in a mean 22.3±17.1 month follow-up.
CONCLUSIONS: Surgeons need to keep in might that these hernias might have high risks such as bowel incarceration or strangulation. It can be treated successfully with traditional open surgery or laparoscopic surgery.

KEY WORDS: Surgical procedures, operative; Laparoscopy; Hernia, abdominal