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Open vs Laparoscopic Repair of Spigelian Hernia
A Prospective Randomized Trial
Alfredo Moreno-Egea, MD;
Luis Carrasco, MD;
Enrique Girela, MD;
Juan-Gervasio Martín, MD;
José L. Aguayo, MD;
Manuel Canteras, PhD
Arch Surg. 2002;137:1266-1268.
Hypothesis The elective treatment of a spigelian hernia is still under discussion, fundamentally owing to its rarity. The purpose of the study is to analyze the elective surgical treatment of spigelian hernia.
Design A prospective, randomized controlled trial.
Setting University teaching hospital.
Patients and Interventions Two surgeons performed 11 conventional and 11 laparoscopic repairs for a spigelian hernia, alternating roles as primary surgeon and assistant. Each time the type of technique was randomly chosen using a computerized program.
Main Outcome Measures Epidemiological, clinical, and surgical factors are analyzed according to treatment, ie, the open or laparoscopic approach.
Results The statistical study shows no significant differences for epidemiological or diagnostic factors, but it does show significant advantages for laparoscopy in terms of morbidity (P<.05) and hospital stay (P<.001).
Conclusion The approach using extraperitoneal laparoscopy is the technique that offers best results in the elective treatment of spigelian hernia.
From the Abdominal Wall Unit and Laparoscopy, Departments of General Surgery (Drs Moreno-Egea, Carrasco, Girela, Martin, and Aguayo) and the Faculty of Medicine Biostatistics (Dr Canteras), J. M. Morales Meseguer Hospital, Murcia, Spain.
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