Do Spigelian hernias need surgery?
Treatment for a spigelian hernia Hernia repair surgery is the only way to treat a spigelian hernia. The decision to have surgery is based on the size of the hernia and whether you experience pain. If you choose surgery, a surgeon can perform an open mesh repair by making an incision in your abdomen near the hernia.
What causes a Spigelian hernia?
Causes. A spigelian hernia is relatively rare, usually developing after age 50, primarily in men. The cause is usually a weakening of the abdominal wall, trauma, or prolonged physical stress. Spigelian hernias are sometimes challenging to diagnose or mistaken for other abdominal conditions.
What is incarcerated Spigelian hernia?
Spigelian hernias are rare abdominal wall defects that occur at the semilunar line lateral to the rectus abdominis muscle. The majority of patients present with symptomatic incarceration of preperitoneal fat or intra-abdominal viscera. Radiographic studies are beneficial in confirming the diagnosis.
Is Spigelian hernia common?
Spigelian hernia is in itself very rare and more over it is difficult to diagnose clinically. It has been estimated that it constitutes 0.12% of abdominal wall hernias. The spigelian hernia has been repaired by both conventional and laparoscopic approach.
How long does Spigelian hernia surgery take?
THE OPERATION Using small incisions, a number of ports are introduced into the abdomen. The surgeon can see the defect between the muscles from the inside. A piece of mesh is then fixed over the defect in using special fixing tacks. The procedure will normally take 30-60 minutes to complete.
How do you fix a Spigelian hernia?
Spigelian hernias can be repaired using an open conventional approach, or laparoscopic repair. Despite the increased popularity of the laparoscopic approach the open mesh repair is still the most common method employed. Spigelian hernias typically become symptomatic only once they have become incarcerated.
How do you fix a spigelian hernia?
Can a CT scan miss a Spigelian hernia?
CT scan is by far the imaging modality of choice for evaluation of possible Spigelian hernia; however, due to their unique anatomy, Spigelian hernias are regularly missed. Larson reports as many as 6 of 19 CT scans in his series were false negatives.
Can a Spigelian hernia be seen on a CT scan?
Ultrasound can provide detailed images of the abdominal wall defect, the hernia sac and its contents, and the relationship of the contents to the Spigelian fascia, as well as the rectus, external oblique, and internal oblique muscles. CT of the abdomen will also confirm the presence of a Spigelian hernia.
Is a Spigelian hernia an emergency?
With the rapid expansion of the indications for minimal access surgery in emergency situations,1 Spigelian hernias, which are rare emergencies, are increasingly tackled using a laparoscopic approach leading to swift patient recovery and discharge.
How is a Spigelian hernia different from other hernias?
A spigelian hernia, also known as a lateral ventral hernia, develops through the spigelian fascia, the muscles found in the abdominal wall whereas most other hernias develop just below layers of fat. Because of the location, swelling is often minimal with little outward signs of a hernia, allowing the condition to go undetected.
When to seek treatment for a Spigelian hernia?
Therefore immediate treatment is required. Spigelian hernia is a life-threatening hernia that can occur in all people. It usually occurs in people between 50-70 years, most commonly in women. It should be treated immediately when diagnosed as further delay could pose a danger to other organs in the abdomen, and the body at large.
How does obesity cause a Spigelian hernia in the abdomen?
Chronic coughing, vomiting, and sneezing – These cause continuous and repetitive contractions of most body muscles. This strain on the abdominal walls can weaken them, leading to spigelian hernia. Obesity – Too much fat in the body may be lodged on abdominal walls.
Can a Spigelian hernia be left untreated?
Yes, spigelian hernia is very dangerous, especially when left untreated. It can lead to complication such as inability to pass bowels, strangulation of the intestines and lack of blood flow. In the long run, it will most probably lead to death. It is therefore advised to seek treatment as fast as possible.