<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2019000300353</article-id>
<article-id pub-id-type="doi">10.24875/ciru.18000484</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reparación laparoscópica de hernia de Spiegel con colocación de malla compuesta intraperitoneal y sistema de fijación articulado. Reporte de dos casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopic Spigelian hernia repair with intraperitoneal onlay composite mesh and articulated fixing system. Two cases report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dzib-Calan]]></surname>
<given-names><![CDATA[Ernesto A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Reyes]]></surname>
<given-names><![CDATA[Sergio F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Pérez]]></surname>
<given-names><![CDATA[Jorge I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez-Vidales]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodarte-Cajica]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leal-Mérida]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Naval de Alta Especialidad Escuela de Posgrado de Sanidad Naval Departamento de Cirugía]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Naval de Alta Especialidad Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Naval de Alta Especialidad Área Quirúrgica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>3</numero>
<fpage>353</fpage>
<lpage>357</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2019000300353&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2019000300353&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2019000300353&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La hernia de Spiegel es un tipo infrecuente de defecto de la pared abdominal. Tradicionalmente se realizaba su reparación con técnica abierta, pero en la actualidad contamos con múltiples técnicas laparoscópicas con uso de material protésico.  Caso clínico: Presentamos dos casos de hernia de Spiegel, un paciente programado de manera electiva y otro de urgencia por hernia incarcerada, ambos diagnosticados de manera prequirúrgica con tomografía abdominal.  Discusión: Los dos pacientes fueron intervenidos de manera exitosa por vía laparoscópica con técnica de malla intraperitoneal utilizando malla compuesta y sistema de fijación articulado.  Conclusiones: Esta técnica se muestra como una opción recomendable por su facilidad de realización y buenos resultados, tanto para cirugías electivas como para cirugías de urgencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Spiegel hernia is an infrequent type of abdominal wall defect. Traditionally, it was repaired with an open technique, currently we have multiple laparoscopic techniques with the use of prosthetic material.  Clinical case: We present two cases of Spiegel hernia, one patient scheduled electively and one patient of urgency due to incarcerated hernia, both diagnosed pre-surgically with abdominal tomography.  Discussion: Both patients were successfully operated laparoscopically with intraperitoneal onlay mesh technique using composite mesh and articulated fixation system.  Conclusion: This technique is shown as a recommended option due to its technical facility, good results, both for elective surgeries and emergency surgeries.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hernia]]></kwd>
<kwd lng="es"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[Spiegel]]></kwd>
<kwd lng="en"><![CDATA[Hernia]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic]]></kwd>
<kwd lng="en"><![CDATA[Spiegel]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cervantes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Menéndez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cicero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vidal]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia de Spiegel]]></article-title>
<source><![CDATA[An Med (Mex)]]></source>
<year>2007</year>
<volume>52</volume>
<page-range>65-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Murillo]]></surname>
<given-names><![CDATA[ZA]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[a]]></given-names>
</name>
<name>
<surname><![CDATA[Puente]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia de Spiegel. Presentación de un caso y revisión de la literatura]]></article-title>
<source><![CDATA[Cirugía endoscópica]]></source>
<year>2011</year>
<volume>130</volume>
<page-range>130-13</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zaga]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Mayagoitia]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernias de pared abdominal]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Mayagoitia]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Editorial Alfil]]></source>
<year>2009</year>
<edition>2a. Edición</edition>
<page-range>469-74</page-range><publisher-loc><![CDATA[Ciudad México, México ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[León]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Acevedo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Dellepiane]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia de Spiegel, reporte de 23 casos]]></article-title>
<source><![CDATA[Revista Chilena de Cirugía]]></source>
<year>2011</year>
<volume>63</volume>
<page-range>64-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Law]]></surname>
<given-names><![CDATA[TT]]></given-names>
</name>
<name>
<surname><![CDATA[Ng]]></surname>
<given-names><![CDATA[KK]]></given-names>
</name>
<name>
<surname><![CDATA[Ng]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[KY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Elective laparoscopic totally extraperitoneal repair for Spigelian hernia:a case series of four patients]]></article-title>
<source><![CDATA[Asian J Endosc Surg]]></source>
<year>2018</year>
<volume>11</volume>
<page-range>244-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Orthopoulos]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Kudsi]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feasibility of robotic-assisted transabdominal preperitoneal ventral hernia repair]]></article-title>
<source><![CDATA[J Laparoendosc Adv Surg Tech A]]></source>
<year>2018</year>
<volume>28</volume>
<page-range>434-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Colavita]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
<name>
<surname><![CDATA[Tsirline]]></surname>
<given-names><![CDATA[VB]]></given-names>
</name>
<name>
<surname><![CDATA[Walters]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic versus open hernia repair:outcomes and sociodemographic utilization results from the nationwide inpatient sample]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2013</year>
<volume>27</volume>
<page-range>109-17</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández-Moreno]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Martí-Cuña]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Pou]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ortega]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intraperitoneal onlay mesh technique for Spigelian hernia in an outpatient and short-stay surgery unit:whats new in intraperitoneal meshes?]]></article-title>
<source><![CDATA[J Laparoendosc Adv Surg Tech A]]></source>
<year>2018</year>
<volume>28</volume>
<page-range>700-4</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jamshidian]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Stanek]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sferra]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Jamil]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Robotic repair of symptomatic Spigelian hernias:a series of three cases and surgical technique review]]></article-title>
<source><![CDATA[J Robot Surg]]></source>
<year>2018</year>
<volume>12</volume>
<page-range>557-60</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Mejías]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gallas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Robotic-assisted ventral hernia repair:a multicenter evaluation of clinical outcomes]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2017</year>
<volume>31</volume>
<page-range>1342-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carter]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Mizes]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic diagnosis and repair of spigelian hernia:report of a case and technique]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>1992</year>
<volume>167</volume>
<page-range>77-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barnes]]></surname>
<given-names><![CDATA[TG]]></given-names>
</name>
<name>
<surname><![CDATA[McWhinnie]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic Spigelian hernia repair:a systematic review]]></article-title>
<source><![CDATA[Surg Laparosc Endosc Percutan Tech]]></source>
<year>2016</year>
<volume>26</volume>
<page-range>265-70</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-Tomassetti Fernández]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Martín Malagón]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Delgado]]></surname>
<given-names><![CDATA[Plasencia L]]></given-names>
</name>
<name>
<surname><![CDATA[Arteaga]]></surname>
<given-names><![CDATA[González I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic repair of incarcerated low Spigelian hernia with transperitoneal PTFE dual mesh]]></article-title>
<source><![CDATA[Surg Laparosc Endosc Percutan Tech]]></source>
<year>2006</year>
<volume>16</volume>
<page-range>427-31</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zacharoulis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sioka]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic Spigelian hernia repair:intraperitoneal onlay mesh-plus technique - video presentation]]></article-title>
<source><![CDATA[J Laparoendosc Adv Surg Tech A]]></source>
<year>2018</year>
<volume>28</volume>
<page-range>201-3</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tran]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Tran]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Zajkowska]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lam]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Hawthorne]]></surname>
<given-names><![CDATA[WJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Single-incision laparoscopic repair of Spigelian hernia]]></article-title>
<source><![CDATA[JSLS]]></source>
<year>2015</year>
<volume>19</volume>
<page-range>e2015.001644</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barnes]]></surname>
<given-names><![CDATA[TG]]></given-names>
</name>
<name>
<surname><![CDATA[McFaul]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Abdelrazeq]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic transabdominal preperitoneal repair of Spigelian hernia closure of the fascial defect is not necessary]]></article-title>
<source><![CDATA[J Laparoendosc Adv Surg Tech A]]></source>
<year>2014</year>
<volume>24</volume>
<page-range>66-71</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
