Preperitoneal mesh repair in Spigelian hernia.

Abstract:

:The first Spigelian hernia was described in 1764. From April 1995 to April 2004, 29 patients underwent 35 Spigelian hernia repair operations in our department. The choice of primary closure or additional mesh was based on the condition of the local tissue. If the tissue appeared of good quality, primary closure was performed; if the tissue was of weak quality, an additional nonresorbable mesh was implanted to induce a stronger scar tissue. Twenty-one Spigelian hernias were repaired using the primary closure method. There were three radiological recurrences, one of which was symptomatic after 10 months and required reoperation. In 14 cases, an additional preperitoneal mesh was implanted. There was no radiological or clinical recurrence in this group. Spigelian hernia repair may therefore have a lower recurrence rate if a preperitoneal mesh is initially implanted.

journal_name

Int Surg

journal_title

International surgery

authors

Mouton WG,Otten KT,Weiss D,Naef M,Wagner HE

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

262-4

issue

5

eissn

0020-8868

issn

2520-2456

journal_volume

91

pub_type

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