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Spigelian hernia in gynaecology

BACKGROUND: A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an intermittent mass and/or a bowel obstruction. RESULTS: The Spigelian hernia is poorl...

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Detalles Bibliográficos
Autores principales: Ussia, Anastasia, Imperato, Fabio, Schindler, Larissa, Wattiez, Arnaud, Koninckx, Philippe R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440533/
https://www.ncbi.nlm.nih.gov/pubmed/28603476
http://dx.doi.org/10.1186/s10397-017-1010-8
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author Ussia, Anastasia
Imperato, Fabio
Schindler, Larissa
Wattiez, Arnaud
Koninckx, Philippe R.
author_facet Ussia, Anastasia
Imperato, Fabio
Schindler, Larissa
Wattiez, Arnaud
Koninckx, Philippe R.
author_sort Ussia, Anastasia
collection PubMed
description BACKGROUND: A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an intermittent mass and/or a bowel obstruction. RESULTS: The Spigelian hernia is poorly known in gynaecology. Spigelian hernias may be causally related to secondary trocar insertion. This review is written to increase awareness in gynaecology and is illustrated by a case report in which the diagnosis was missed for 4 years even by laparoscopy. Smaller hernias risk not to be diagnosed and will thus not be treated. Even larger Spigelian hernias might not be recognised and treated appropriately. CONCLUSIONS: The gynaecologist should consider a Spigelian hernia in women with localised pain in the abdominal wall lateral of the rectus muscle some 5 cm below the umbilicus. Smaller hernias can be closed by laparoscopy without a mesh. Larger hernias require a mesh repair.
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spelling pubmed-54405332017-06-08 Spigelian hernia in gynaecology Ussia, Anastasia Imperato, Fabio Schindler, Larissa Wattiez, Arnaud Koninckx, Philippe R. Gynecol Surg Original Article BACKGROUND: A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an intermittent mass and/or a bowel obstruction. RESULTS: The Spigelian hernia is poorly known in gynaecology. Spigelian hernias may be causally related to secondary trocar insertion. This review is written to increase awareness in gynaecology and is illustrated by a case report in which the diagnosis was missed for 4 years even by laparoscopy. Smaller hernias risk not to be diagnosed and will thus not be treated. Even larger Spigelian hernias might not be recognised and treated appropriately. CONCLUSIONS: The gynaecologist should consider a Spigelian hernia in women with localised pain in the abdominal wall lateral of the rectus muscle some 5 cm below the umbilicus. Smaller hernias can be closed by laparoscopy without a mesh. Larger hernias require a mesh repair. Springer Berlin Heidelberg 2017-05-15 2017 /pmc/articles/PMC5440533/ /pubmed/28603476 http://dx.doi.org/10.1186/s10397-017-1010-8 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Ussia, Anastasia
Imperato, Fabio
Schindler, Larissa
Wattiez, Arnaud
Koninckx, Philippe R.
Spigelian hernia in gynaecology
title Spigelian hernia in gynaecology
title_full Spigelian hernia in gynaecology
title_fullStr Spigelian hernia in gynaecology
title_full_unstemmed Spigelian hernia in gynaecology
title_short Spigelian hernia in gynaecology
title_sort spigelian hernia in gynaecology
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440533/
https://www.ncbi.nlm.nih.gov/pubmed/28603476
http://dx.doi.org/10.1186/s10397-017-1010-8
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