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Diagnostik og behandling af spigellihernie

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Diagnostik og behandling af spigellihernie. / Louring-Andersen, Martin; Hjørne, Flemming Pii; Skovdal, Jan; Bisgaard, Thue.

I: Ugeskrift for læger, Bind 171, Nr. 48, 2009, s. 3518-22.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Louring-Andersen, M, Hjørne, FP, Skovdal, J & Bisgaard, T 2009, 'Diagnostik og behandling af spigellihernie', Ugeskrift for læger, bind 171, nr. 48, s. 3518-22.

APA

Louring-Andersen, M., Hjørne, F. P., Skovdal, J., & Bisgaard, T. (2009). Diagnostik og behandling af spigellihernie. Ugeskrift for læger, 171(48), 3518-22.

Vancouver

Louring-Andersen M, Hjørne FP, Skovdal J, Bisgaard T. Diagnostik og behandling af spigellihernie. Ugeskrift for læger. 2009;171(48):3518-22.

Author

Louring-Andersen, Martin ; Hjørne, Flemming Pii ; Skovdal, Jan ; Bisgaard, Thue. / Diagnostik og behandling af spigellihernie. I: Ugeskrift for læger. 2009 ; Bind 171, Nr. 48. s. 3518-22.

Bibtex

@article{8fdb8860538111df928f000ea68e967b,
title = "Diagnostik og behandling af spigellihernie",
abstract = "INTRODUCTION: Spigelian hernia is a rare condition, which is frequently difficult to diagnose. This study describes our experience and we briefly discuss our findings in relation to the sparse literature. MATERIAL AND METHODS: Seven-year retrospective study (2000-2006) with prospective follow-up in a consecutive series of patients. RESULTS: We identified a total of 12 patients with 13 spigelian hernias among 379 patients with ventral hernia (3.1{\%}). Symptoms and clinical findings varied substantially between patients. Due to strangulation, four patients underwent acute operation and eight patients underwent elective operation (laparoscopic (n = 7); open (n = 1)). One patient was treated conservatively. After a median of 3.3 years (range 0.8 to 6.8 years) recurrence was found in one patient and one patient (without recurrence) had moderate pain at the former hernia site. DISCUSSION: Due to the relatively high risk of strangulation, all patients with spigelian hernias should be offered surgery regardless of symptoms. Pain and perhaps bulging at the semilunar line indicates a spigelian hernia, but the diagnosis can be difficult to establish. When in doubt, we suggest the use of computed tomography and, subsequently, diagnostic laparoscopy and laparoscopic repair. Udgivelsesdato: 2009-Nov-23",
author = "Martin Louring-Andersen and Hj{\o}rne, {Flemming Pii} and Jan Skovdal and Thue Bisgaard",
note = "Keywords: Adult; Aged; Aged, 80 and over; Female; Follow-Up Studies; Hernia, Ventral; Humans; Intestinal Obstruction; Laparoscopy; Male; Middle Aged; Prospective Studies; Recurrence; Retrospective Studies; Risk Factors; Tomography, X-Ray Computed",
year = "2009",
language = "Dansk",
volume = "171",
pages = "3518--22",
journal = "Ugeskrift for Laeger",
issn = "0041-5782",
publisher = "Almindelige Danske Laegeforening",
number = "48",

}

RIS

TY - JOUR

T1 - Diagnostik og behandling af spigellihernie

AU - Louring-Andersen, Martin

AU - Hjørne, Flemming Pii

AU - Skovdal, Jan

AU - Bisgaard, Thue

N1 - Keywords: Adult; Aged; Aged, 80 and over; Female; Follow-Up Studies; Hernia, Ventral; Humans; Intestinal Obstruction; Laparoscopy; Male; Middle Aged; Prospective Studies; Recurrence; Retrospective Studies; Risk Factors; Tomography, X-Ray Computed

PY - 2009

Y1 - 2009

N2 - INTRODUCTION: Spigelian hernia is a rare condition, which is frequently difficult to diagnose. This study describes our experience and we briefly discuss our findings in relation to the sparse literature. MATERIAL AND METHODS: Seven-year retrospective study (2000-2006) with prospective follow-up in a consecutive series of patients. RESULTS: We identified a total of 12 patients with 13 spigelian hernias among 379 patients with ventral hernia (3.1%). Symptoms and clinical findings varied substantially between patients. Due to strangulation, four patients underwent acute operation and eight patients underwent elective operation (laparoscopic (n = 7); open (n = 1)). One patient was treated conservatively. After a median of 3.3 years (range 0.8 to 6.8 years) recurrence was found in one patient and one patient (without recurrence) had moderate pain at the former hernia site. DISCUSSION: Due to the relatively high risk of strangulation, all patients with spigelian hernias should be offered surgery regardless of symptoms. Pain and perhaps bulging at the semilunar line indicates a spigelian hernia, but the diagnosis can be difficult to establish. When in doubt, we suggest the use of computed tomography and, subsequently, diagnostic laparoscopy and laparoscopic repair. Udgivelsesdato: 2009-Nov-23

AB - INTRODUCTION: Spigelian hernia is a rare condition, which is frequently difficult to diagnose. This study describes our experience and we briefly discuss our findings in relation to the sparse literature. MATERIAL AND METHODS: Seven-year retrospective study (2000-2006) with prospective follow-up in a consecutive series of patients. RESULTS: We identified a total of 12 patients with 13 spigelian hernias among 379 patients with ventral hernia (3.1%). Symptoms and clinical findings varied substantially between patients. Due to strangulation, four patients underwent acute operation and eight patients underwent elective operation (laparoscopic (n = 7); open (n = 1)). One patient was treated conservatively. After a median of 3.3 years (range 0.8 to 6.8 years) recurrence was found in one patient and one patient (without recurrence) had moderate pain at the former hernia site. DISCUSSION: Due to the relatively high risk of strangulation, all patients with spigelian hernias should be offered surgery regardless of symptoms. Pain and perhaps bulging at the semilunar line indicates a spigelian hernia, but the diagnosis can be difficult to establish. When in doubt, we suggest the use of computed tomography and, subsequently, diagnostic laparoscopy and laparoscopic repair. Udgivelsesdato: 2009-Nov-23

M3 - Tidsskriftartikel

C2 - 19944051

VL - 171

SP - 3518

EP - 3522

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 48

ER -

ID: 19440762