Spigelion hernia: fascia lata repair is an alternative option in absence of prolene mesh.
J Indian Med Assoc
;
2002 Jun; 100(6): 370-1, 384
Article
in English
| IMSEAR
| ID: sea-101901
ABSTRACT
Spigelian hernia is rare. Seven cases of Spigelian hernia are presented. These include two recurrent Spigelian hernias. Incisional hernias through Spigelian aponeurosis after Pfannensteil incision are not included. Clinical examination is the mainstay of diagnosis. The true incidence is possibly higher, as a low Spigelian hernia is not recognised and often diagnosed as a direct inguinal hernia. Ultrasound scanning is recommended, as it is non-invasive and easily available and can detect the hernial orifice in the Spigelian fascia at an early stage. Recurrence of Spigelian hernia took place in two cases through the site of prolene stitch of a previous repair. Hernioplasty with tension free fascia lata graft/prolene mesh was carried out in all cases. The cost of fascia lata graft is only a scar in the thigh. In a mean follow-up of 3.1 -year no patient has reported back with recurrence This is the ideal substitute for the patients in developing countries where synthetic meshes are still not freely available.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Digestive System Surgical Procedures
/
Surgical Mesh
/
Aged
/
Female
/
Humans
/
Male
/
Retrospective Studies
/
Follow-Up Studies
/
Adolescent
/
Treatment Outcome
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
J Indian Med Assoc
Year:
2002
Type:
Article
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