Laparoscopic ventral hernia repair with intraperitoneal onlay mesh reinforcement is often performed in clinical practice. We herein describe a patient who developed a Spigelian hernia at the edge of the mesh due to rupture of the muscular layer in the abdominal wall. A 69-year-old woman developed a left-sided abdominal bulge 15 months after laparoscopic ventral hernia repair. CT showed a 33-mm defect in the abdominal wall at the lateral edge of the left abdominal rectus muscle with an intestinal prolapse through the defect. She was diagnosed with a Spigelian hernia and underwent operation. The hernia orifice was located at the aponeurosis of the transverse abdominal muscle where the thread had been used to fix the mesh through all layers of the abdominal wall. This report details a case of a Spigelian hernia after laparoscopic ventral hernia repair.
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http://dx.doi.org/10.1111/ases.12941 | DOI Listing |
ANZ J Surg
December 2024
Department of Surgery, Bathurst Base Hospital, Bathurst, New South Wales, Australia.
A Spigelian hernia is a rare abdominal wall defect that can be challenging to identify and repair. In this article, we demonstrate a straightforward method to repair these difficult hernias. This technique has shown excellent outcomes over a 10-year period.
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December 2024
MRCS, Trauma and Orthopaedic Registrar, Nasser institute Hospital, Cairo, Egypt.
Spigelian hernia is an uncommon form of ventral hernia, with an incidence ranging from 0.1% to 2%. This case report describes a 72-year-old female who presented with an obstructed right Spigelian hernia, a left Spigelian hernia, and an uncomplicated Meckel's diverticulum, along with the management approach.
View Article and Find Full Text PDFSpigelian hernia is a rare type of abdominal hernia; diagnosis is primarily through computed tomography, which is crucial for accurate diagnosis and planning early surgical intervention to preserve the herniated sac's contents.
View Article and Find Full Text PDFCureus
October 2024
General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Occult hernias, which are not detectable through clinical examination but can be identified during surgery, are typically asymptomatic. Bilateral inguinal hernias occur frequently, and in some cases, unilateral or bilateral inguinal hernias are observed in conjunction with paraumbilical hernias. However, it is rare to repair more than three hernias, including rare types, in a single procedure.
View Article and Find Full Text PDFInt J Surg Case Rep
November 2024
Department of Surgery, School of Clinical Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Introduction And Importance: Traumatic Spigelian hernias, an unusual subtype of traumatic abdominal wall hernias (TAWH). This case highlights the individualized surgical management of Spigelian hernia depending on the presentation, history, and existence of concurrent intra-abdominal injuries. This case report, presented in line with the SCARE criteria, highlights a case of obstructed Spigelian hernia.
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