Laparoscopic transabdominal preperitoneal repair in the management of Spiegelian hernia – A three-patient case series and review of the literature
BACKGROUND: Spiegel hernia (SH) is a rare type of primary ventral hernia. Surgery has been performed by open or minimally invasive means with no current gold standard due to a shortage of current evidence. We advocate for the transabdominal preperitoneal approach (TAPP) for its cost effective outcom...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
| Series: | International Journal of Abdominal Wall and Hernia Surgery |
| Subjects: | |
| Online Access: | http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2021;volume=4;issue=1;spage=23;epage=27;aulast=Valenzuela |
| Summary: | BACKGROUND: Spiegel hernia (SH) is a rare type of primary ventral hernia. Surgery has been performed by open or minimally invasive means with no current gold standard due to a shortage of current evidence. We advocate for the transabdominal preperitoneal approach (TAPP) for its cost effective outcome. We present a series of 3 cases operated using the TAPP approach in the past 5 years, carried out by a single surgeon, and a review of the literature.
METHODS: A retrospective analysis of a case series of 3 patients' operations between January 2015 and June 2020. TAPP repair was found to be a safe and effective anatomical repair with all the added benefits of laparoscopic surgery such as reduced hospital stay, quicker recovery, and fewer surgical site occurrences.
CONCLUSIONS: Several operative techniques have been described to repair Spiegel hernia but in our particular practice we felt laparoscopic TAPP approach was the safest and with a more predictable outcome due to the authors familiarity with it. |
|---|---|
| ISSN: | 2589-8736 2589-8078 |