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Case Report
Spigelian hernia successfully managed with a laparoscopic approach, the first ever case reported in Ecuador
1 Attending Surgeon, Department of General Surgery, Hospital IESS Quito Sur, Quito, Ecuador
2 Chief of General Surgery, Department of General Surgery, Hospital IESS Quito Sur, Quito, Ecuador
3 Surgery Resident, Department of General Surgery, Hospital IESS Quito Sur, Quito, Ecuador
Address correspondence to:
Gabriel A Molina
MD, Attending Surgeon, Department of General Surgery, Hospital IESS Quito Sur, Quito,
Ecuador
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Article ID: 100043S05GF2020
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How to cite this article
Fuentes G, Molina GA, Jiménez GE, Jiménez AS, Cedeño AB, Robles MA, Mosquera JM, Carrera PA, Hernández O. Spigelian hernia successfully managed with a laparoscopic approach, the first ever case reported in Ecuador. Edorium J Surg 2020;7:100043S05GF2020.ABSTRACT
Spigelian hernia is an abdominal wall defect through the Spigelian fascia. These hernias are relatively rare hernias that account for only 2% of all the abdominal wall hernias. Diagnosis is difficult as these hernias have nonspecific symptoms and a palpable mass is usually not identified. A high clinical awareness along with complementary exams are usually needed to confirm the diagnosis. Surgery is required as these hernias have a high risk of strangulation and incarceration. The advent of laparoscopic surgery has improved surgical outcomes. In developing countries the availability of this equipment is limited; however, adequate qualification and training of surgeons in these techniques are vital for achieving satisfactory results. We report the case of a 58-year-old patient with a Spigelian hernia. It was successfully managed through laparoscopy and it is the first case ever reported in Ecuador.
Keywords: Abdominal hernia, Hernia, Laparoscopy, Spigelian hernia
SUPPORTING INFORMATION
Author Contributions:
Germanico Fuentes - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Gabriel A Molina - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Galo Enrique Jimén - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Andres Sebastian Jiménez - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ana Belen Cedeño - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Marcela Alexandra Robles - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Jessenia Mishell Mosquera - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Paul Alexander Carrera - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Omar Hernández - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Germanico Fuentes et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
