Is there a link between Spigelian and inguinal hernias? A case series.

IF 2.6 2区医学 Q1 SURGERY Hernia Pub Date : 2024-10-01 Epub Date: 2024-06-27 DOI:10.1007/s10029-024-03061-5

R Lorenz, U Vollmer, J Conze, F Loch, K Paul-Promchan, R Mantke, C Paasch, R Wiessner

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Abstract

Introduction: 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.

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斯皮格林疝和腹股沟疝之间有联系吗？一个病例系列。

简介斯皮格疝属于罕见的原发性腹股沟疝。由于许多病例无症状，因此诊断通常比较困难。在目前的科学文献中，脊柱疝和腹股沟疝通常被分开考虑。通过本系列病例，我们希望说明这两种疝气之间可能存在的关系：本文报告了 2021 年 1 月 1 日至 2023 年 10 月 31 日期间在五家疝气中心接受手术的 Spigelian 疝气系列病例。我们总结了所有患者的特征、既往手术情况以及二次手术的结果：我们报告了 24 例斯皮格疝的系列病例，其中 15 例与之前的腹股沟疝有关。然而，在这些病例中，尚不能确定这些疝气主要是被忽视或隐匿性疝气，还是由于以前的疝气手术而继发的。通过这组病例，我们希望指出斯皮格疝与腹股沟疝之间可能存在的联系。我们需要进一步的研究来揭示这一实体并解释其成因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.