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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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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. |
format | Online Article Text |
id | pubmed-10282559 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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