Twelve years of experience treating XXXX .

@entity1 @entity281 @entity158 @entity547 @entity1744 @entity4037
BACKGROUND AND AIMS: A @entity547 ( @entity547 ) is an acquired @entity4037 that most commonly occurs in the Spigelian belt. @entity1 may experience @entity158 or a bulge in the abdominal area, but in most cases there are no symptoms. If left untreated the @entity547 may become strangulated, which could lead to @entity1744 . MATERIAL AND METHODS: We reviewed 28 surgical @entity1 with @entity547 between January 2002 and December 2013. We evaluated the incidence of complications, recurrences, and the length of hospital stay with comorbidities, body mass index, clinical presentation, and operative techniques. RESULTS: The 28 @entity1 included 10 males and 18 females, with a mean age of 67  years. Seven @entity1 (26.9%) received emergency operations, and the remaining @entity1 received elective operations. An "open-direct" operative approach was used in 16 cases and a laparoscopic approach in 12. The overall complication rate was 7.6% and the recurrence rate was 3.8% with a median follow-up of 3  years. The median hospital stay was 1  day (range, 1-7). Only the presence of local complications at diagnosis showed a significant impact on length of hospital stay. None of the considered variables had a significant impact on @entity547 recurrence. CONCLUSION: No differences were noted among the operative techniques, wound @entity281 , complications rate, and length of hospital stay. Laparoscopy seems to cause more early postoperative @entity158 that reverses in about 2  weeks.
