Symptoms vary from insidious to localised pain, an intermittent mass andor a bowel obstruction. Pdf file created from a tiff image by tiff2pdf author. The purpose of the study is to analyze the elective surgical treatment of spigelian hernia. The spigelian hernia is poorly known in gynaecology. Hypothesis the elective treatment of a spigelian hernia is still under discussion, fundamentally owing to its rarity. The clinical presentation varies, depending on the contents of the hernial sac and the degree and type of herniation. The hernial ring is a welldefined defect in the aponeurosis. The history of the spigelian hernia became acknowledged in 1645, twenty years after spiegel s death.
Spigelian hernia is an abdominal hernia occurs between the. Spigelian hernia is an uncommon abdominal wall defect. Pdf on feb 8, 2010, karim ibn majdoub hassani and others published spigelian hernia. Arc journal of surgery page 2 placed to the operation sites. A spigelian hernia is a rare hernia through the spigelian fascia between the rectus muscle and the semilunar line. Spiegel was the first to described this rare hernia in 1627. Findings to facilitate diagnosis are palpable hernia and a palpable hernial orifice. A spigelian hernia is a hernia through the spigelian fascia or layer of tissue that separates two groups of abdominal muscles. Spigelian hernias may be causally related to secondary trocar insertion.
Hernia, spiegel s linea semilunaris plication, abdominoplasty resumo. 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. Spiegelian hernia secondary to abdominoplasty rbcp. View and download spiegel 60609 operation manual online. Design a prospective, randomized controlled trial setting university teaching hospital patients and interventions two surgeons performed 11 conventional and 11 laparoscopic repairs. The diagnosis of spigelian hernia presents greater difficulties than its treatment. Spigelian hernia has been described as a complication of chronic ambulatory peritoneal dialysis capd. There were no complications occurred, the drains were withdrawn and patient was discharged on postoperative day 1. The pain, which is the most common symptom, varies and there is no typical pain of spigelian hernia. In 1764, almost a century later, the flemish anatomist, josef klinkosch was acknowledged for recognizing and describing a hernia located in the spigelian fascia, and coined the term. Spigelian hernias are rare finding comprising only about 42% of abdominal wall. 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.
Loudest pubic bone crack ive ever heard self cracker gets deeper adjustmentcarpal tunnelasmr duration. Media in category spigelian hernia the following 2 files are in this category, out of 2 total. Download and read free online applied structural steel design 4th edition by leonard spiegel, george f. The muscles are called the rectus muscles and the lateral obliques. Scribd is the worlds largest social reading and publishing site. This pathology is often difficult to diagnose given its particular anatomic location, little known by the majority of primary care physicians in emergency rooms, which makes incarceration a discovering circumstance in one in five cases and thus exposing. Review the chapters on steel detailing and open web steel joists provide more indepth coverage to these topics.