Spigelian Hernia: Surgical Anatomy, Embryology, and Technique of Repair

  title={Spigelian Hernia: Surgical Anatomy, Embryology, and Technique of Repair},
  author={Panagiotis Skandalakis and Odyseas Zoras and John E. Skandalakis and Petros Mirilas},
  journal={The American Surgeon},
  pages={42 - 48}
Spigelian hernia (1–2% of all hernias) is the protrusion of preperitoneal fat, peritoneal sac, or organ(s) through a congenital or acquired defect in the spigelian aponeurosis (i.e., the aponeurosis of the transverse abdominal muscle limited by the linea semilunaris laterally and the lateral edge of the rectus muscle medially). Mostly, these hernias lie in the “spigelian hernia belt,” a transverse 6-cm-wide zone above the interspinal plane; lower hernias are rare and should be differentiated… 

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[Spigelian hernias].

An unusual presentation of an incarcerated Spigelian hernia

A patient with a history of lower abdominal pain since 10 weeks with a large intra-abdominal mass in the right iliac fossa and an explorative laparoscopy after six weeks showed an incarcerated appendix in a Spigelian hernia is presented.



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Congenital spigelian hernia and cryptorchidism: cause or coincidence?

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A retrospective review of Mayo Clinic patients was performed to find patients who had undergone surgical repair of a Spigelian hernia from 1976 to 1997, finding that Mesh and laparoscopic repairs are viable alternatives to the durable results of standard primary closure.

Spigelian hernia: rare or obscure?

Facilitation of open spigelian hernia repair by laparoscopic location of the hernial defect

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Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial.

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Concomitant Spigelian and inguinal hernias in a neonate.

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