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Case report: laparoscopic treatment of inguinal and ipsilateral Spiegel's hernia

Laparoscopic repair of abdominal wall hernias is increasingly used and widespread among surgeons, as it has shown advantages when compared to open repairs. Higher direct costs and the mandatory use of general anesthesia are arguments against its use, on the other hand, potential benefits aimed at improving quality of life include reduction in postoperative pain, quick recovery, lower recurrence rate, fewer complications and less overall cost, have already been proven. Although it was described about 30 years ago, the approach took a while to spread, possibly due to the anatomy that was still little explored, in addition to requiring advanced laparoscopic skills. The article in question reports the case of a patient with a direct inguinal hernia concomitant with the ipsilateral Spiegelian hernia, who received simultaneous repair of the two defects, via laparoscopy.

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Case report: laparoscopic treatment of inguinal and ipsilateral Spiegel's hernia

  • DOI: 10.22533/at.ed.1593282318044

  • Palavras-chave: Inguinal hernia, Spiegel, laparoscoy

  • Keywords: Inguinal hernia, Spiegel, laparoscoy

  • Abstract:

    Laparoscopic repair of abdominal wall hernias is increasingly used and widespread among surgeons, as it has shown advantages when compared to open repairs. Higher direct costs and the mandatory use of general anesthesia are arguments against its use, on the other hand, potential benefits aimed at improving quality of life include reduction in postoperative pain, quick recovery, lower recurrence rate, fewer complications and less overall cost, have already been proven. Although it was described about 30 years ago, the approach took a while to spread, possibly due to the anatomy that was still little explored, in addition to requiring advanced laparoscopic skills. The article in question reports the case of a patient with a direct inguinal hernia concomitant with the ipsilateral Spiegelian hernia, who received simultaneous repair of the two defects, via laparoscopy.

  • Thiago Augustus Blasco e Silva
  • Gustavo Munayer Abras
  • Otávio Sá Fortes de Carvalho
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