Ernia di Spigelio «gigante» associata ad ernia inguinale: Riparazione con protesi di polipropilene

Translated title of the contribution: Giant Spigelian hernia associated with inguinal hernia. Repair with polypropylene prostheses

G. Conzo, A. Giordano, G. Candela, M. Di Marzo, U. Marone, L. Santini

Research output: Contribution to journalArticlepeer-review

Abstract

Spigelian or lateral ventral hernia is a rare pathology, representing about 2% of all abdominal wall hernias. This kind of hernia can be found in the area limited from the umbilicus and anterosuperior iliac spine, near the lateral edge of the rectus abdominis. The authors describe a rare case of "giant" Spigelian hernia related with homolateral direct inguinal hernia. A seventy-year-old and obese patient had a painless huge intumescence in the right side of periumbilical area, and besides - he had a homolateral direct inguinal hernia. Abdominal computerized tomography visualized a hernial gap, which diameter is larger than 7 cm, in pararectal subumbilical site and a wide herniated bowel in interaponeurotic site. This double hernial pathology has been treated in an only solution, placing an only subfascial polypropylene prosthesis, overlapping both hernial defects. The authors believe prosthetic "tension free" repair, previous suture of the defect, represents a gold standard in the treatment of Spigelian hernia. Such refined technique allows an effective repair especially when aponeurotic defect is out of size and/or is related with subsequent homolateral hernia, also allowing an early patient's rehabilitation.

Translated title of the contributionGiant Spigelian hernia associated with inguinal hernia. Repair with polypropylene prostheses
Original languageItalian
Pages (from-to)611-615
Number of pages5
JournalMinerva Chirurgica
Volume55
Issue number9
Publication statusPublished - Sep 2000

ASJC Scopus subject areas

  • Surgery

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