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Oct 19, 2021 · A “natural progression” of SpH in adults was recently supported by the finding that younger patients presented smaller Spigelian fascia defects with only preperitoneal content in most cases, in contrast to elderly patients who were more prone to present bigger hernias with peritoneal content at diagnosis [5].
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Note the Spigelian hernia penetrating the Spigelian fascia...
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Surgical anatomy of the abdominal wall. Abdominal wall...
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- Background
- Methods
- Results
- Conclusion
- Abbreviations
- Conclusion
- Acknowledgements
Spigelian hernias (SpH) belong to the group of eponymous abdominal wall hernias. Major reasons for diagnostic dificulties are its low incidence reaching maximum 2% of abdominal wall hernias, a specific anatomical localization with intact external oblique aponeurosis covering the hernia sac and non-constant clinical presentation.
A literature review was completed to summarize current knowledge on surgical treatment options and results.
SpH presents a high incarceration risk and therefore should be operated upon even if the patient is asymptomatic. Both laparoscopic and open repair approaches are validated by current guidelines with lesser postoperative complications and shorter hospital stay in favour of minimally invasive surgery, regardless of the technique used. Overall recurr...
All diagnosed SpH should be planned for elective operation to prevent strangulated hernia and, therefore emer-gency surgery. Both open and laparoscopic SpH treatment can be safely performed, depending on surgeon’s experience. In most cases, a mesh repair is generally advised. Keywords Hernia surgery · Spigelian hernia · Review · Minimally invasi...
SpH Spigelian hernia US Ultra-sonography CT Computed tomography EHS European Hernia Society AHS Americas Hernia Societies IPOM IntraPeritoneal onlay mesh TEP Totally extraperitoneal TAPP TransAbdominal PrePeritoneal SIL Single incision laparoscopy
SpH incidence is currently unknown, but number of cases reported has recently grown with the widely use of cross-sectional imaging techniques. SpH remains a diagnostic challenge, due to the specific anatomic localisation under the external oblique aponeurosis. Moreover, SpH are sig-nificantly at higher risk of incarceration compared to other type o...
The authors thank Ing. Petr Jarušek for electronic editing of the anatomy figures Author contributions Conception and design: IH, DC. Literature review: IH, DC. Artwork crafting: IH. Drafting the manuscript: IH, DC. Review and editing: all authors. The final manuscript was approved by all authors. Funding Open Access funding provided by Université ...
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- I Hanzalova, M Schäfer, N Demartines, D Clerc
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- 2021
Jun 26, 2023 · A spigelian hernia is a rare, abnormal protrusion of abdominal contents or peritoneum through a defect (spigelian fascia), which is comprised of the transversus abdominis and the internal oblique aponeuroses.
- 2023/06/26
Feb 29, 2024 · The spigelian fascia transitions to the posterior sheath of the rectus abdominis at the arcuate line, and this transition creates an innate weakness known as the spigelian belt. In this region, there is also increased abdominal circumference and pressure.
- Yulia Shtanko, Juliet Galtes, Wilmer Mata
- Cureus. 2024 Feb; 16(2): e55209.
- 10.7759/cureus.55209
- 2024/02
Nov 11, 2021 · A spigelian hernia occurs when your organs bulge between the front abdominal muscles. Learn about the causes, symptoms, and treatment options for this condition today.
Apr 5, 2022 · The natural progression of the disease ranges from younger patients usually presenting with a smaller fascial defect with preperitoneal tissue being the most common content. However, with increasing age, elderlies are vulnerable to the development of larger defects with peritoneal contents constituting the main sac content [ 18 ].
Sep 14, 2022 · Spigelian hernia (SH) is the protrusion of the abdominal content or peritoneum through a congenital or acquired defect of the anterior abdominal wall fascia in correspondence of the Spigelian aponeurosis, along the semilunar line. It is said to be rare with an incidence of 1–2% of all ventral hernias. However, the risk of incarceration and ...
