Renia spiegel tiene quince anos y es una adolescente como muchas otras. These hernias are also known as spontaneous lateral ventral hernias, hernia of the semilunar line, or hernias through the conjoint tendon. The diagnosis of spigelian hernia presents greater difficulties than its treatment. Spiegel was the first to described this rare hernia in 1627. The history of the spigelian hernia became acknowledged in 1645, twenty years after spiegel s death. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias, internal hernias, the abdominal wall anterior and postero. Some risk factors outlined above could be eliminated or at least lessened.
Findings to facilitate diagnosis are palpable hernia and a palpable hernial orifice. The pain, which is the most common symptom, varies and there is no typical pain of spigelian hernia. Hernia, spiegels linea semilunaris plication, abdominoplasty resumo. Letranglement reste une complication rare mais grave pouvant mettre en jeu le pronostic vital. Spigelian hernia has been described as a complication of chronic ambulatory peritoneal dialysis capd. Rbcp spiegelian hernia secondary to abdominoplasty. The spigelian aponeurosis is widest between 0 and 6 cm cranial to the interspinous plane and 8590% of the hernias occur within this spigelian hernia belt figure 3. The muscles are called the rectus muscles and the lateral obliques. The clinical presentation varies, depending on the contents of the hernial sac and the degree and type of herniation. Instead this type of hernia develops in amid the muscles in the wall of the abdomen. Spigelian hernia, also known as lateral ventral hernia, is a type of abdominal hernia along the semilunar line, resulting in herniation between the muscles of the abdominal wall. This is unlike most hernias that grow right below the fat layers.
Often known as a lateral ventral hernia, this type of hernia is a form of hernia developing throughout the spigelian fascia. Dec 26, 2017 a spigelian hernia is a hernia through the spigelian fascia or layer of tissue that separates two groups of abdominal muscles. The spigelian aponeurosis is widest between 0 and 6 cm cranial to the interspinous. The aim of this article is to describe a case of spigelian hernia.
Son diagnostic clinique savere souvent difficile voire trompeur, et soppose a une semiologie caracteristique en imagerie. Richters hernia may be defined as an abdominal hernia in which only part of the circumference of the bowel wall is entrapped and strangulated in the hernial. In conclusion, the total extraperitoneal laparoscopic approach gives the best results in the elective treatment of spigelian hernia. A spigelian hernia is a hernia through the spigelian fascia or layer of tissue that separates two groups of abdominal muscles. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias, internal hernias, the abdominal wall anterior and posterolateral aspects, the diaphragm and the perineum, the advancement of abdominal wall and hernia surgery in all aspects, the study of anatomical. Spigelian hernia repair you will be asked to attend the preadmission assessment clinic prior to admission to ensure you are fit for surgery, allowing time for the necessary preoperative tests, which may include blood tests, cardiogram ecg and a chest xray. Sep 03, 2008 spigelian hernia has been described as a complication of chronic ambulatory peritoneal dialysis capd.