Open Surgery for Spiegel's Hernia
Main Article Content
Abstract
Spiegel's hernias are uncommon anomalies in the Spiegel's aponeurosis, which runs between the rectus muscle and the semilunar line. They are most commonly found in the "Spigel's hernia belt" between the navel and the interspinal line (a horizontal line connecting the anterosuperior iliac spines). We recommend open repair for individuals who arrive with an acute Spiegel's hernia, especially if there is a risk of high-grade blockage, strangulation, intra-abdominal infection, and/or the necessity for bowel resection. Furthermore, open repair may be required due to the surgeon's lack of expertise with and/or experience with laparoscopic methods, or when laparoscopy is contraindicated due to an inability to tolerate pneumoperitoneum or securely access the peritoneal cavity. Sutures or mesh can be used to repair an open Spiegel's hernia. Given the risk of recurrence, we only do suture repair in cases of contamination when mesh implantation is contraindicated and may enhance morbidity.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Fuentes, G., Molina, G. A., Jiménez, G. E., Jiménez, A. S., Cedeño, A. B., Robles, M. A., ... & Hernández, O. Spigelian hernia successfully managed with a laparoscopic approach, the first ever case reported in Ecuador.
II. Bittner IV, J. G., Edwards, M. A., Shah, M. B., Macfadyen Jr, B. V., & Mellinger, J. D. (2008). Mesh-free laparoscopic spigelian hernia repair. The American Surgeon, 74(8), 713-720.
III. Holloway, J. K. (1922). Spontaneous lateral ventral hernia. Annals of Surgery, 75(6), 677.
IV. de la Hermosa, A. R., Prats, I. A., Liendo, P. M., Noboa, F. N., & Calero, A. M. (2010). Spigelian hernia. Personal experience and review of the literature. Rev Esp Enferm Dig, 102(10), 583-586.
V. Coulier, B. (2012). Hernias of the greater omentum through the antero-superior abdominal wall: an extensive pictorial MDCT review with emphasis on typical anatomic landmarks. A pictorial essay. Journal Belge de Radiologie, 95(4), 191.
VI. Thomas Byrd, J. W. (2005). Physical examination. Operative hip arthroscopy, 36-50.
VII. Mittal, T., Kumar, V., Khullar, R., Sharma, A., Soni, V., Baijal, M., & Chowbey, P. K. (2008). Diagnosis and management of Spigelian hernia: A review of literature and our experience. Journal of minimal access surgery, 4(4), 95.
VIII. Donovan, K., Denham, M., Kuchta, K., Carbray, J., Ujiki, M., Linn, J., ... & Haggerty, S. (2021). Laparoscopic totally extraperitoneal and transabdominal preperitoneal approaches are equally effective for spigelian hernia repair. Surgical Endoscopy, 35, 1827-1833.
IX. Hanzalova, I., Schäfer, M., Demartines, N., & Clerc, D. (2021). Spigelian hernia: current approaches to surgical treatment—a review. Hernia, 1-7.
X. Sanchez, V. M., Abi-Haidar, Y. E., & Itani, K. M. (2011). Mesh infection in ventral incisional hernia repair: incidence, contributing factors, and treatment. Surgical infections, 12(3), 205-210.
XI. Slater, N. J., van der Kolk, M., Hendriks, T., van Goor, H., & Bleichrodt, R. P. (2013). Biologic grafts for ventral hernia repair: a systematic review. The American Journal of Surgery, 205(2), 220-230.
XII. Dzib-Calan, E. A., Ortiz-Reyes, S. F., Morales-Pérez, J. I., Núñez-Vidales, R., Rodarte-Cajica, G., & Leal-Mérida, G. (2019). Laparoscopic Spigelian hernia repair with intraperitoneal onlay composite mesh and articulated fixing system. Two cases report. Cirugia y Cirujanos, 87(3), 253-257.