Spigel hernisi: Olgu serisi ve deneyimimiz

AMAÇ: Spigel hernisi tanýsý konulan hastalar geriye dönük olarak literatür eþliðinde incelendi.
YÖNTEMLER: Bu çalýþmaya Spigel hernisi tanýsý ile ameliyat edilen 17 hasta (12 kadýn, 5 erkek; ort. yaþ 52; daðýlým 32-74 yaþ) dahil edildi. Hastalar yaþ, cinsiyet, þikayetler, lokalizasyon, defekt çapý, hastanede yatýþ süresi ve onarým teknikleri açýsýndan incelendi.
BULGULAR: Ortalama defekt çapý 3.7 (2-6) cm idi. Tüm hastalarda aðrý þikayeti vardý. Hastalarýn 11’ine polipropilen yama ile, 6’sýna standart cerrahi ile onarým yapýldý. Polipropilen yama ile onarým uygulanan hastalarda 4-48 aylýk takiplerde nüks saptanmadý.
SONUÇ: Spigel hernilerinde polipropilen yama ile cerrahi onarým düþük nüks oranlarýyla uygulanabilir.

Spigelian hernia: Case series and our experience

OBJECTIVE: Patients diagnosed with Spigelian hernia are evaluated retrospectively by review of the literature.
METHODS: The study included 17 patients (12 female, 5 male; mean age 52; range 32 to 74 years) who were diagnosed with a Spigelian hernia which was treated surgically. Patients were evaluated in terms of age, sex, clinical presentation, localization, size of the defect, duration of hospitalization, and surgical techniques.
RESULTS: Average size of the defect was 3.7 (2-6) cm. All of the patients reported pain. Eleven patients were treated with mesh herniorraphy techniques. Six patients were treated by the standard surgical technique. During the follow-up of 4-48 months, no recurrence was observed among the mesh herniorraphy group.
CONCLUSION: Mesh herniorraphy techniques using polypropylene meshes can be preformed with low recurrence rates.