Trial reportSurgical endoscopy2015
Which should be the gold standard laparoscopic technique for handling Spigelian hernias?
Trial report in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Spigelian hernias in the adult population: a systematic review of the literature.Langenbeck's archives of surgery · 2024Pooled it
- Intraperitoneal versus extraperitoneal mesh in minimally invasive ventral hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances.BJS open · 2020Pooled it
- Elective transabdominal preperitoneal repair of an incidentally detected spigelian hernia with massive sigmoid colon protrusion through a small fascial defect: a case report.International journal of surgery case reports · 2026Article
- Beyond acronyms: a domain-based structural analysis of abdominal wall hernia repair techniques in the contemporary literature.Surgical endoscopy · 2026Article
- ICG-guided bowel preservation during emergency TAPP repair for incarcerated Spigelian hernia: a case report.Journal of surgical case reports · 2026Article
- Revisiting Spigelian hernia with emphasis on diagnostic challenges and outcomes of open mesh repair: a case report of two patients.International journal of emergency medicine · 2026Article
- How Reproducible Are Abdominal Wall Surgical Techniques? A Methodological Assessment of Technical Reporting in the Contemporary Literature.Journal of abdominal wall surgery : JAWS · 2026Article
- Article
- Spigelian Hernia Unveiled: A Case Report of Unexpectedly Extended Hernial Sac and Successful Surgical Intervention.Clinical case reports · 2024Article
- Spigelian hernias: A high volume institutional review.Surgery open science · 2023Article
- Article
- Spigelian hernia: current approach to surgical treatment-peculiarities in this rare condition.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Spigelian hernia: current approaches to surgical treatment-a review.Hernia : the journal of hernias and abdominal wall surgery · 2022Review
- The Management of Traumatic Abdominal Wall Flank Hernia Along the Spigelian Aponeurosis Using Component Separation, Synthetic, and Biological Mesh.Journal of medical cases · 2022Article
- Non-strangulated Spigelian Hernia: A Case Report.Cureus · 2022Article
- Minimally invasive repair for lateral ventral hernia: tailored approach from a hernia centre at a tertiary care institution.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Laparoscopic totally extraperitoneal and transabdominal preperitoneal approaches are equally effective for spigelian hernia repair.Surgical endoscopy · 2021Article
- The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia.Materials (Basel, Switzerland) · 2021Review
- Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?Hernia : the journal of hernias and abdominal wall surgery · 2019Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe advantages and disadvantages of both extraperitoneal and intra-abdominal laparoscopic Spigelian hernia repair are still being discussed. To our knowledge, no study has compared both techniques in terms of safety, feasibility, and cost-effectiveness.
methodProspective data were collected to compare the results of the extraperitoneal approach with the intra-abdominal approach in laparoscopic Spigelian hernia repair, between 2000 and 2012 (n = 16). Diagnosis was confirmed preoperatively by ultrasonography and/or tomography.
resultsSpigelian hernias occur mostly in women (69 %), on the left side (56 %) and at a median age of 62 (range: 38-83). In our study, the extraperitoneal technique was performed in seven patients, while the intra-abdominal approach was indicated in nine. No complications, re-admissions, or recurrences were detected in either during a mean follow-up of 48 months (range: 18 months-9 years). The statistical study showed that there was no difference in either morbidity or the recurrence rate between a totally extraperitoneal (TEP) and an intraperitoneal onlay mesh (IPOM) repair. The mean duration of an IPOM repair was, though, shorter than that of a TEP repair (30 vs. 48 min, P = 0.06). The combined fixation technique (tacks + glue) did not modify the results but did reduce the costs, as shown in the cost-effectiveness study where the intra-abdominal approach was cheaper (1260 vs. 2200 euros, P < 0.001).
conclusionLaparoscopy seems to be a safe and feasible technique whichever the approach chosen, be it intra or extraperitoneal. Our experience shows that intra-abdominal laparoscopic Spigelian hernia repair should be recommended as the gold standard because of its technical and economic advantages. The IPOM procedure with a lightweight titanium-coated mesh fixed using a combined technique is a highly effective option for Spigelian hernia repair.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.