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Spigelian hernias: A high volume institutional review

PURPOSE: The objective of this study was to evaluate a high-volume hernia center's experience with primary Spigelian hernias. INTRODUCTION: Spigelian hernias are rare entities presenting a diagnostic dilemma for clinicians that often lead to a delay in treatment or need for emergency surgery. G...

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Autores principales: Szasz, Peter, Mainprize, Marguerite, Spencer Netto, Fernando A.C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282559/
https://www.ncbi.nlm.nih.gov/pubmed/37351187
http://dx.doi.org/10.1016/j.sopen.2023.04.009
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author Szasz, Peter
Mainprize, Marguerite
Spencer Netto, Fernando A.C.
author_facet Szasz, Peter
Mainprize, Marguerite
Spencer Netto, Fernando A.C.
author_sort Szasz, Peter
collection PubMed
description PURPOSE: The objective of this study was to evaluate a high-volume hernia center's experience with primary Spigelian hernias. INTRODUCTION: Spigelian hernias are rare entities presenting a diagnostic dilemma for clinicians that often lead to a delay in treatment or need for emergency surgery. Given this low incidence true patient and hernia characteristics are unknown. METHODS: This was a retrospective chart review evaluating patients who underwent a Spigelian hernia repair between 2005 and 2019. Descriptive statistics were utilized. RESULTS: The incidence of Spigelian hernias at our institution was 0.14 %. There were 141 patients with 143 spigelian hernias (two patients had bilateral hernias) repaired at our institution during the study period, the majority of these were in male patients, left sided and repaired under conscious sedation with or without the use of mesh. CONCLUSION: This study adds a large dataset to the paucity of literature that exists in the context of Spigelian hernias and alerts the clinician that these hernias are not exclusive to the older female population. Furthermore, this study provides the need for a high index of suspicion in patients presenting with vague abdominal pain who may not fit the typical Spigelian hernia mold.
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spelling pubmed-102825592023-06-22 Spigelian hernias: A high volume institutional review Szasz, Peter Mainprize, Marguerite Spencer Netto, Fernando A.C. Surg Open Sci Research Paper PURPOSE: The objective of this study was to evaluate a high-volume hernia center's experience with primary Spigelian hernias. INTRODUCTION: Spigelian hernias are rare entities presenting a diagnostic dilemma for clinicians that often lead to a delay in treatment or need for emergency surgery. Given this low incidence true patient and hernia characteristics are unknown. METHODS: This was a retrospective chart review evaluating patients who underwent a Spigelian hernia repair between 2005 and 2019. Descriptive statistics were utilized. RESULTS: The incidence of Spigelian hernias at our institution was 0.14 %. There were 141 patients with 143 spigelian hernias (two patients had bilateral hernias) repaired at our institution during the study period, the majority of these were in male patients, left sided and repaired under conscious sedation with or without the use of mesh. CONCLUSION: This study adds a large dataset to the paucity of literature that exists in the context of Spigelian hernias and alerts the clinician that these hernias are not exclusive to the older female population. Furthermore, this study provides the need for a high index of suspicion in patients presenting with vague abdominal pain who may not fit the typical Spigelian hernia mold. Elsevier 2023-04-28 /pmc/articles/PMC10282559/ /pubmed/37351187 http://dx.doi.org/10.1016/j.sopen.2023.04.009 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Szasz, Peter
Mainprize, Marguerite
Spencer Netto, Fernando A.C.
Spigelian hernias: A high volume institutional review
title Spigelian hernias: A high volume institutional review
title_full Spigelian hernias: A high volume institutional review
title_fullStr Spigelian hernias: A high volume institutional review
title_full_unstemmed Spigelian hernias: A high volume institutional review
title_short Spigelian hernias: A high volume institutional review
title_sort spigelian hernias: a high volume institutional review
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282559/
https://www.ncbi.nlm.nih.gov/pubmed/37351187
http://dx.doi.org/10.1016/j.sopen.2023.04.009
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