Document Detail

Laparoscopic spigelian hernia repair: the scroll technique.
MedLine Citation:
PMID:  18306858     Owner:  NLM     Status:  MEDLINE    
Spigelian hernia is a rare clinical entity. It has a subtle clinical presentation with vague abdominal pain that may warrant laparoscopy. Even though laparoscopic ventral hernia repair is increasingly popular, laparoscopic repair of spigelian hernia has not been adequately studied. Eight patients who underwent laparoscopic spigelian hernia repair are presented herein, along with a description of our simple technique for mesh placement. In addition, literature review of laparoscopic repair of spigelian hernia is also presented. Our case series included six females and two males; two patients presented acutely whereas the others presented with chronic pain. Laparoscopic repair was successfully performed in all of our patients with a mean operative time of 92.5 minutes. There were no postoperative complications or recurrence with a mean follow up of 36 months. Our scroll technique for laparoscopic repair is simple and feasible. It minimizes intracorporeal mesh manipulation, facilitates mesh fixation to the anterior abdominal wall, and maintains a precise orientation of the mesh in relation to the defect.
Alan A Saber; Mohamed H Elgamal; Arun J Rao; Robert L Osmer; Ed A Itawi
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American surgeon     Volume:  74     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-29     Completed Date:  2008-04-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  108-12     Citation Subset:  IM    
Department of Surgery, Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, Michigan 49008, USA.
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MeSH Terms
Aged, 80 and over
Hernia, Ventral / surgery*
Surgical Mesh*

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