PDF(Pubmed)
Abstract：
Spigelian hernia, also known as lateral ventral hernia, is a type of hernia arising through the Spigelian aponeurosis. Unlike many other ventral hernias that occur beneath the layer of fat and abdominal skin, Spigelian hernia is situated within the abdominal wall muscles. Spigelian hernia often presents with few symptoms and may exist for a long time without being diagnosed or detected. We report a case of Spigelian hernia causing an intestinal obstruction treated with surgical emergency abdominal wall reconstruction using the sublay technique. Identification and evaluation of cases with the potential for hernia occurrence are crucial for the safety of patients undergoing surgery. Spigelian hernia accounts for 1%-2% of all ventral hernia cases. Currently, there are no reports on Spigelian hernia in Vietnam. However, a few reports on surgical management of Spigelian hernia have been published worldwide, with approaches including laparoscopic and open surgery, and these reports have indicated that abdominal wall reconstruction using the sublay technique is feasible as it is associated with fewer postoperative complications and shorter hospital stays. Here, we describe the case of an 87-year-old woman presenting with swelling and pain in the lower left quadrant of the abdomen. A preoperative diagnosis of Spigelian hernia causing intestinal obstruction was established, and we proceeded with abdominal wall reconstruction using the sublay technique. The patient was discharged three days after surgery without any postoperative complications.
摘要：
Spigelian疝,也被称为腹侧疝，是一种通过Spigelian膜引起的疝气。与脂肪层和腹部皮肤下发生的许多其他腹侧疝不同，Spigelian疝位于腹壁肌肉内。Spigelian疝通常症状很少，并且可能长期存在而未被诊断或检测到。我们报告了一例Spigelian疝导致肠梗阻的病例，该病例采用外科急诊腹壁重建技术进行了外科治疗。识别和评估可能发生疝气的病例对于手术患者的安全性至关重要。Spigelian疝占所有腹侧疝病例的1％-2％。目前,越南没有关于Spigelian疝气的报道.然而,世界范围内已经发表了一些关于斯皮格尔疝手术治疗的报告，方法包括腹腔镜和开放手术，这些报告表明，使用sublay技术进行腹壁重建是可行的，因为它与更少的术后并发症和更短的住院时间相关。这里,我们描述了一个87岁的女性，在腹部的左下象限出现肿胀和疼痛。建立了导致肠梗阻的Spigelian疝的术前诊断，然后我们使用底层技术进行腹壁重建。患者术后三天出院，无任何术后并发症。
