Spigelian hernia in gynaecology.

Q2 Medicine

Gynecological Surgery Pub Date : 2017-01-01 Epub Date: 2017-05-15 DOI:10.1186/s10397-017-1010-8

Anastasia Ussia, Fabio Imperato, Larissa Schindler, Arnaud Wattiez, Philippe R Koninckx

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引用次数: 5

Abstract

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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妇科Spigelian疝。

背景:Spigelian疝是一种罕见的疝，通过直肌和半月线之间的Spigelian筋膜。这种疝气在外科上很常见。症状从隐蔽性疼痛到局部疼痛、间歇性肿块和/或肠梗阻不等。结果:Spigelian疝在妇科中鲜为人知。Spigelian疝可能与二次套管针插入有因果关系。这篇综述是为了提高对妇科的认识，并通过一个病例报告来说明，在这个病例报告中，即使通过腹腔镜检查，诊断也被遗漏了4年。较小的疝气风险不被诊断，因此不会被治疗。甚至更大的斯皮格尔疝也可能无法被识别和适当治疗。结论:妇科医生应考虑腹壁直肌外侧脐下约5厘米处局部疼痛的女性为Spigelian疝。较小的疝气可以通过腹腔镜关闭，不需要网状物。较大的疝气需要补片修补。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gynecological Surgery SURGERY-

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期刊介绍： "Gynecological Surgery", founded in 2004, is the first and premier peer-reviewed scientific journal dedicated to all aspects of research, development, and training in gynecological surgery. This field is rapidly changing in response to new developments and innovations in endoscopy, robotics, imaging and other interventional procedures. Gynecological surgery is also expanding and now encompasses all surgical interventions pertaining to women health, including oncology, urogynecology and fetal surgery. The Journal publishes Original Research, Reviews, Evidence-based Viewpoints on clinical protocols and procedures, Editorials, Perspectives, Communications and Case Reports.