Spigelian hernia in gynaecology

Background A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an intermittent mass and/or a bowel obstruction. Results The Spigelian hernia is poorly...

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Bibliographic Details
Published in:Gynecological surgery 2017, Vol.14 (1), p.8-8, Article 8
Main Authors: Ussia, Anastasia, Imperato, Fabio, Schindler, Larissa, Wattiez, Arnaud, Koninckx, Philippe R.
Format: Article
Language:English
Subjects:
Gynecology
Hernias
Interventional Radiology
Laparoscopy
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Obstetrics/Perinatology/Midwifery
Original
Original Article
Reproductive Medicine
Surgical Oncology
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Summary:Background A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an intermittent mass and/or a bowel obstruction. Results The Spigelian hernia is poorly known in gynaecology. Spigelian hernias may be causally related to secondary trocar insertion. This review is written to increase awareness in gynaecology and is illustrated by a case report in which the diagnosis was missed for 4 years even by laparoscopy. Smaller hernias risk not to be diagnosed and will thus not be treated. Even larger Spigelian hernias might not be recognised and treated appropriately. Conclusions The gynaecologist should consider a Spigelian hernia in women with localised pain in the abdominal wall lateral of the rectus muscle some 5 cm below the umbilicus. Smaller hernias can be closed by laparoscopy without a mesh. Larger hernias require a mesh repair.
ISSN:1613-2076
1613-2084
DOI:10.1186/s10397-017-1010-8