关键词: Case series Inguinal hernia Spigelian hernia Ventral hernia

来  源:   DOI:10.1007/s10029-024-03061-5

Abstract:
BACKGROUND: Spigelian hernias are among the rare primary ventral hernias. Diagnosis is often difficult, as many cases are asymptomatic. Spigelian and inguinal hernias are usually considered separately in current scientific literature. With this case series, we want to illustrate a possible relationship between the neighboring hernia types.
METHODS: In this article, we report on a case series of Spigelian hernias that were operated on in five hernia centers in the period from January 1st, 2021 to October 31st, 2023. We have summarized all patient characteristics with previous operations and the result of the secondary operation.
RESULTS: We report a case series with 24 Spigelian hernias, 15 of which have a connection to previous inguinal hernias. In these cases, however, it is not certain whether these are primarily overlooked or occult hernias or whether these Spigelian hernias have arisen secondarily, as a result of previous hernia surgery. With this case series, we would like to point out a possible connection between Spigelian hernia and inguinal hernia. Further studies are needed to shed more light on this entity and explain its genesis.
摘要:
背景:Spigelian疝是罕见的原发性腹侧疝。诊断通常很困难,因为许多病例是无症状的。在当前的科学文献中,通常分别考虑Spigelian和腹股沟疝。有了这个案例系列,我们想说明相邻疝气类型之间可能的关系。
方法:在本文中,我们报道了1月1日在五个疝气中心进行手术的一系列Spigelian疝病例,2021年10月31日,2023年。我们总结了以前手术的所有患者特征以及二次手术的结果。
结果:我们报告了一个24例Spigelian疝的病例系列,其中15个与以前的腹股沟疝有关。在这些情况下,然而,尚不确定这些是主要被忽视的疝还是隐匿性疝,或者这些Spigelian疝是次要出现的,因为之前的疝气手术.有了这个案例系列,我们想指出Spigelian疝和腹股沟疝之间的可能联系。需要进一步的研究来进一步阐明这一实体并解释其起源。
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