Incidence and outcome of surgical repair of spigelian hernia

  title={Incidence and outcome of surgical repair of spigelian hernia},
  author={D. I. Vos and Marc Scheltinga},
  journal={British Journal of Surgery},
A spigelian hernia develops through a defect present in a locus minoris resistentiae between abdominal muscles. It is generally considered rare but is probably underdiagnosed. This study was undertaken to characterize the history, presenting features and efficacy of surgical correction of spigelian hernia. 
Spigelian hernia: a case report and review of the literature.
By a remarkable revision of literature, the Authors sum up epidemiology and clinical features of Spigelian hernia and discuss diagnostic and therapeutic principles.
Case Report: a Rare Case of Bilateral Spigelian with Bilateral Inguinal Hernia
An 84-year-old gentleman presented to us with uncomplicated bilateral spigelian hernia with bilateral direct inguinal hernia and underwent an open pre-peritoneal mesh repair under spinal anesthesia.
Spigelian Hernia in a 14-Year-Old Girl: A Case Report and Review of the Literature
The anatomy, etiology, clinical presentation, instrumental diagnosis, and surgical technique of pediatric SH are described and a case of SH is reported: a 14-year-old girl presented recurrent abdominal pain associated to intermittent palpable mass in the paraumbilical region.
Simultaneous laparoscopic totally extraperitoneal repair for concurrent ipsilateral spigelian and indirect inguinal hernia.
The technique of a simultaneous repair of both spigelian and inguinal hernia using the totally extraperitoneal laparoscopic mesh repair is reported.
Laparoscopic modified lateral transabdominal preperitoneal approach for Spigelian hernia repair: An easier approach to a rare condition
In this study, eight patients underwent laparoscopic spigelian hernia repair and a modified lateral TAPP approach was used in four cases and then compared with the conventional T APP approach.
Spigelian Hernia: A Rare Case Report
A 32 years old female patient from who presented with right upper abdominal pain associated with a swelling below the right subcostal margin was diagnosed with Spigelian hernia and gallbladder stones and underwent laparoscopic mesh repair and cholecystectomy.
Laparoscopic intraperitoneal mesh fixation with fibrin sealant of a Spigelian hernia
A novel approach in laparoscopic mesh repair of Spigelian hernia is described, securing a lightweight composite mesh with fibrin sealant, which seems to be a reasonable, feasible alternative to the standard tissue-penetrating mesh fixation.
Open preperitoneal repair in a patient of large spigelian hernia
For repair of large size spigelian hernia, reinforcement with polypropylene mesh is recommended because of high recurrence rate of tissue repair and open preperitoneal repair is a preferred technique over laparoscopic total extraperitoneAL repair.


Video-assisted Spigelian hernia repair.
  • B. Fisher
  • Medicine
    Surgical laparoscopy & endoscopy
  • 1994
An incarcerated Spigelian hernia that was successfully repaired using video-assisted laparoscopy, concurrent with a cholecystectomy is described.
Concomitant Spigelian and inguinal hernias in a neonate.
It is indicated that a Spigelian hernia can occur in neonates and synchronously with an inguinal hernia, regardless of age of presentation, and that the hernia is congenital in origin.
Laparoscopic repair of bilateral spigelian and inguinal hernias
It is reported the successful laparoscopic repair of bilateral spigelian and inguinal hernias using mesh using mesh.
Incidental laparoscopic repair of a spigelian hernia.
A case of an incidental spigelian hernia discovered during a laparoscopic pelvic lymph node dissection for prostatic carcinoma is described. The proposed management of this unusual finding is
Recurrent Spigelian hernia: a rare cause of colonic obstruction
The rare case presented should be regarded as an illustrative example for application of the tension-free repair principle in the definitive management of recurrent Spigelian hernia.
Treatment of Spigelian hernia using totally extraperitoneal laparoscopy ambulatory surgery
Two patients with preoperative diagnosis and treatment using totally extraperitoneal laparoscopy under regional anesthesia in a day surgery department forigelian hernia are reported.
Spigelian hernias: a new repair technique using preshaped polypropylene umbrella plugs.
A new modality consisting of the tension-free occlusion of the hernia ring with a preshaped polypropylene umbrella-type plug is used which simplifies the repair and has the advantage of producing minimal postoperative pain and disability.
Laparoscopic repair of a Spigelian hernia using an expanded polytetrafluoroethylene (ePTFE) mesh
A Spigelian hernia treated with an expanded polytetrafluoroethylene (ePTFE) patch that was applied as an peritoneal onlay is described and coagulation of the hernial sac is added to the standard technique in order to prevent formation of a seroma.
Spigelian hernias in infants: report of two cases.
The hernia reduced spontaneously and is no longer palpable, suggesting spontaneous closure, which has not been recorded before.
Right lower quadrant abdominal pain due to appendicitis and an incarcerated spigelian hernia.
An adult with right lower quadrant abdominal pain due to an incarcerated spigelian hernia and acute appendicitis is presented.