D. MARGARITESCU(1), D. CARTU(1), V. SURLIN(1), E. GEORGESCU(1), MILENA GEORGESCU(1), LUMINITA CHIUTU(2)
(1)- Clinica Chirurgie I, Spitalul Judetean de Urgenta Craiova, UMF Craiova, (2)- Clinica ATI Spitalul Clinic Judetean de Urgenta Craiova, UMF Craiova
REZUMAT
Sunt prezentate 7 cazuri de hernie Spiegel operate in perioada 1998-2007, si care reprezintă 0,45% din totalul herniilor operate in aceiaşi perioada de timp. Raportul femei/ bărbati este 5/2, cu varste intre 18 si 78 ani. Localizarea herniei a fost in 4 cazuri de partea dreaptă si 3 cazuri de partea stangă. 4 cazuri au asociat obezitate de gradul 3 si 4, 2 cazuri multiparitate.
Clinico evolutiv 4 cazuri au fost necomplicate si 3 complicate cu strangulare. Diagnosticul clinic nu a ridicat dificultăti. Toate cazurile au fost operate atăt prin tehnica clasica Bachy 5 cazuri cat si procedeu tension-free cu plasa de polipropilenă tehnica Flament in 2 cazuri. Nu am inregistrat complicaţii postoperatorii si mortalitatea a fost 0.
CUVINTE CHEIE hernie, Spiegel, tehnica Flament, tehnica Bachy
Spigelian hernia. Our experience. Literature review
ABSTRACT
There are presented seven cases with Spiegelian hernia operated on between 1998-2007, which represented 0,45% of the totality of the patients operated for different hernias during the same period. Sex ratio was female/male 5/2, the extremes age being 18-78 years.
The location of hernia was on the right side of the abdomen in 4 cases and on the left side in 3 cases. The main associated morbidities was the III and IV degree obesity in 4 cases. The evolution was uncomplicated in 4 cases and complicated with strangulation in 3 cases. Clinical diagnosis was clear and simple. All the cases was operated, classic procedure (Bachy techniques) in 5 cases and tension free procedure ( Flament techniques) in 2 cases. There was no immediate or late complications. Mortality was zero.
KEY WORDS hernia, Spiegel, Flament technique, Bachy tehnique