How is an abdominal spigelian hernia surgically repaired?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Despite being rare and difficult to diagnose, spigelian hernias are easily approached. A transverse incision over the hernia to the sac allows dissection to the neck, and clean approximation of the internal oblique muscle and transversus abdominis completes the repair. Laparoscopic repair allows accurate delineation of the anatomy and helps establish the diagnosis in suspect instances.


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