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Spigelian Hernia

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1. Laparoscopic herniorrhaphy of bilateral inguinal herniae and an incidental Spigelian hernia with intra corporeal suturing of the Spigelian hernia neck: A case report (PubMed)

Laparoscopic herniorrhaphy of bilateral inguinal herniae and an incidental Spigelian hernia with intra corporeal suturing of the Spigelian hernia neck: A case report A Spigelian hernia is a rare type of abdominal wall hernia occurring in an area of congenital or acquired defect. These hernias occur in an area called the Spigelian zone and are interparietal making for a difficult diagnosis on clinical exam.A 74-year-old female presenting with bilateral inguinal herniae and a left sided Spigelian (...) hernia. The repair was done laparoscopically with an intra-corporeal suture closing the Spigelian hernia neck. Her recovery was uneventful.The aetiology of Spigelian herniae remains nebulous. Due to their rarity and evasive nature on clinical exam, ultrasound imaging has become the first line in diagnosis. Open herniorrhaphy is still the most common technique, but laparoscopic repair is becoming more commonplace in the surgical armamentarium.Spigelian herniae are rare with non specific symptoms. We

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2018 International journal of surgery case reports

2. Congenital Spigelian Hernia Combined with Bilateral Inguinal Hernias (PubMed)

Congenital Spigelian Hernia Combined with Bilateral Inguinal Hernias 29636314 2019 03 22 2019 03 22 2146-3131 35 5 2018 09 21 Balkan medical journal Balkan Med J Congenital Spigelian Hernia Combined with Bilateral Inguinal Hernias 402-403 10.4274/balkanmedj.2017.1306 Sinopidis Xenophon X 0000-0002-0878-0668 Department of Pediatric Surgery, University of Patras School of Medicine, Patras University Hospital, Patras, Greece Panagidis Antonios A Department of Pediatric Surgery, Karamandaneion (...) Hernia, Inguinal congenital pathology Hernia, Ventral congenital Humans Infant, Newborn Male 2018 4 12 6 0 2018 4 11 6 0 2019 3 23 6 0 ppublish 29636314 10.4274/balkanmedj.2017.1306 PMC6158471 Hernia. 2005 Dec;9(4):378-80 15782280 Surg Clin North Am. 2003 Oct;83(5):1235-53, viii 14533913 Pediatr Surg Int. 2005 Sep;21(9):736-8 15977015 J Pediatr Surg. 2015 Feb;50(2):325-30 25638630 World J Pediatr. 2012 May;8(2):185-7 21874609

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2018 Balkan medical journal

3. Corrigendum to “Laparoscopic totally extra-peritoneal hernia repair for bilateral Spigelian hernias and coincident inguinal hernia: A case report” [Int. J. Surg. Case Rep. 28 (2016) 169–172] (PubMed)

Corrigendum to “Laparoscopic totally extra-peritoneal hernia repair for bilateral Spigelian hernias and coincident inguinal hernia: A case report” [Int. J. Surg. Case Rep. 28 (2016) 169–172] 28365454 2017 08 16 2210-2612 34 2017 International journal of surgery case reports Int J Surg Case Rep Corrigendum to "Laparoscopic totally extra-peritoneal hernia repair for bilateral Spigelian hernias and coincident inguinal hernia: A case report" [Int. J. Surg. Case Rep. 28 (2016) 169-172]. 65

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2017 International journal of surgery case reports

4. Spigelian hernia in children: low versus classical. (PubMed)

Spigelian hernia in children: low versus classical. Pediatric spigelian hernias are very rare. They are often missed or misdiagnosed. A series of cases with spigelian hernia, presented to a tertiary care center are presented here with emphasis on different anatomy of spigelian hernias with cryptorchidism and those without associated cryptorchidism.Over a period of seven years, nine cases of spigelian hernia presented to our tertiary care center. Male:female ratio was 3:1 (...) .There was a preponderance of right sided hernias. Three patients had associated cryptorchidism. One patient had associated lumbar hernia. All three patients with cryptorchidism had low spigelian hernia while others had classical spigelian hernia.There is a likelihood of anatomical variation in SH associated with UDT and those without UDT. Understanding this anatomy may help in correct scrotal placement of testis.Prospective Observational.4.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Journal of Pediatric Surgery

5. Spigelian hernia in the right upper abdominal wall: a case report. (PubMed)

Spigelian hernia in the right upper abdominal wall: a case report. Spigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the "Spigelian belt", but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen.A 38-year-old female was admitted to hospital with complaints of abdominal pain and right upper quadrant mass for 10 days. Contrast-enhanced computed tomography (...) (CECT) of abdomen revealed the dilated small intestine between the swelling ventral muscles in the right upper abdominal wall which suggested a ventral hernia. The surgeons considered it was a spontaneous hernia because there was no history of surgery or trauma in the upper abdomen. About two hours later, the patient underwent emergency surgery. According to laparotomy, a diagnosis of SH with ileum herniation in the right upper abdominal wall was confirmed. The necrotic ileum segment was resected

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2018 BMC Surgery

6. Spigelian hernia in the right upper abdominal wall: a case report (PubMed)

Spigelian hernia in the right upper abdominal wall: a case report Spigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the "Spigelian belt", but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen.A 38-year-old female was admitted to hospital with complaints of abdominal pain and right upper quadrant mass for 10 days. Contrast-enhanced computed tomography (...) (CECT) of abdomen revealed the dilated small intestine between the swelling ventral muscles in the right upper abdominal wall which suggested a ventral hernia. The surgeons considered it was a spontaneous hernia because there was no history of surgery or trauma in the upper abdomen. About two hours later, the patient underwent emergency surgery. According to laparotomy, a diagnosis of SH with ileum herniation in the right upper abdominal wall was confirmed. The necrotic ileum segment was resected

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2018 BMC Surgery

7. An Unusual Presentation of Spigelian Hernia Incarceration after Colonoscopy (PubMed)

An Unusual Presentation of Spigelian Hernia Incarceration after Colonoscopy Spigelian hernias are uncommon and predominantly affect the abdominal wall.The incidence of Spigelian hernias after colonoscopy is even rarer with only one case outlined in the surgical literature. This is the case of a 66-year-old man who underwent routine colonoscopy and presented to the hospital with systemic inflammatory response syndrome (SIRS). A computed tomography (CT) scan demonstrated a Spigelian hernia

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2018 Cureus

8. Laparoscopic totally extra-peritoneal hernia repair for bilateral Spigelian hernias and coincident inguinal hernia: A case report (PubMed)

Laparoscopic totally extra-peritoneal hernia repair for bilateral Spigelian hernias and coincident inguinal hernia: A case report Spigelian hernia (SH) is a rare ventral hernia occurring near the lateral border of the rectus muscle. The treatment remains controversial and depends on institutional expertise. Although laparoscopic surgery is a good adaptation for the repair of ventral hernias, only a few cases have been reported in the literature. Here, we report a case of totally extra (...) -peritoneal (TEP) repair for bilateral SHs.A 74-year-old Japanese man presented with asymptomatic bulges in the right lower abdominal quadrant. On physical examination, the bulges were located to the right of the lateral border of the abdominal rectus muscle and the right inguinal region in an upright position. We diagnosed right SH and coincident homonymous ipsilateral inguinal hernia (IH) by abdominal computed tomography and planned a curative operation by laparoscopy. By first laparoscopic exploration

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2016 International journal of surgery case reports

9. Laparoscopic management of Spigelian hernias

Laparoscopic management of Spigelian hernias Laparoscopic management of Spigelian hernias Laparoscopic management of Spigelian hernias Skouras C, Purkayastha S, Jiao L, Tekkis P, Darzi A, Zacharakis E CRD summary The review concluded that management of spigelian hernias was safe and effective in elective and emergency settings. Potential for bias, substantial methodological flaws and a very limited evidence base mean that the authors’ conclusions should be treated with caution. Authors (...) ' objectives To assess the safety and effectiveness of the laparoscopic approach to the management of Spigelian hernias. Searching PubMed, EMBASE and The Cochrane Library databases and Google Scholar were searched for studies published in English up to October 2009; search terms were reported. Reference lists of retrieved articles were searched. Study selection Published studies of any type that reported on a case or case series of patients with acute, chronic, strangulated, incarcerated or irreducible

2011 DARE.

10. Cancer of unknown primary (CUP) presenting as a Spigelian hernia: a case report (PubMed)

Cancer of unknown primary (CUP) presenting as a Spigelian hernia: a case report Cancer of unknown primary (CUP) is a well-known entity that can present in a multitude of clinical presentations. Based on the extent and organ of involvement, the presentation will be varied. For instance, patients presenting with axillary lymphadenopathy would lead toward a primary breast cancer, whereas patients presenting with abdominal distention due to ascites would tend toward a gastrointestinal origin. We (...) present a case of a 73-year-old female who presented with an abdominal wall mass; on laparoscopy, she was found to have a spigelian hernia due to an omental metastatic lesion from a CUP.

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2017 Journal of surgical case reports

11. Spigelian hernia in gynaecology (PubMed)

Spigelian hernia in gynaecology 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.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.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.

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2017 Gynecological surgery

12. Abdominal Mass After Robotic Assisted Laparoscopic Prostatectomy: Spigelian Type Trocar Hernia (PubMed)

Abdominal Mass After Robotic Assisted Laparoscopic Prostatectomy: Spigelian Type Trocar Hernia Prostate cancer is the most common cancer in men. Men are diagnosed at early stages of prostate cancer with the use of prostate specific antigen. Surgical removal of the prostate is the standard treatment in localized prostate cancer. Complications after surgical procedures are inevitable. Although robotic prostatectomy has resulted in decreased complications compared to open surgery, complications (...) occur. After an uneventful robotic assisted laparoscopic prostatectomy in a 71-year-old gentleman, with history of chronic cough and continued low dose glucocorticoid use, the patient returned to hospital with complain of a tender abdominal mass in right lower quadrant. After performing a computed tomography of the contrast, a Spigelian type trocar hernia was noted. The patient underwent a laparoscopic diagnostic surgery followed by small bowel resection and abdominal wall defect repair. The patient

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2017 Current urology

13. Laparoscopic diagnosis and repair of Spigelian hernia: A case report and literature review (PubMed)

Laparoscopic diagnosis and repair of Spigelian hernia: A case report and literature review Spigelian hernias are a rare type of hernia which protrude through the abdominal wall at the semilunar line. They are especially difficult to diagnose due to their location and non-specific symptoms and are often overlooked because of their positioning between muscular layers. Patients may present with localized pain which can aid the diagnosis. CT and ultrasound are also helpful.We present the case (...) of a 75-year-old female patient who presented to Hialeah Hospital with a one-year history of abdominal pain localized to the left lower quadrant.A Spigelian hernia containing omentum, was found during a diagnostic laparoscopy. The hernia was reduced, and the abdominal defect was repaired via primary repair, reinforced by mesh. The patient recovered uneventfully.Nonspecific physical exam findings and inconclusive imaging studies represented a diagnostic challenge. Here we discuss a case of a Spigelian

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2017 International journal of surgery case reports

14. Case report of ovary and fallopian tube as content of a Spigelian hernia – a rare entity (PubMed)

Case report of ovary and fallopian tube as content of a Spigelian hernia – a rare entity Spigelian hernia is a rare entity, comprising 1-2% of all hernias. Various abdominopelvic viscera herniate through the defect in the Spigelian fascia and become incarcerated. Specifically in females, the ovary and/or the fallopian tube can herniate through this defect. This is the third reported case of such a hernia.We report here a young lady aged 30 years with right-sided ovarian Spigelian hernia. She (...) presented with a painful lump in the right lower quadrant of abdomen for 2 weeks. On examination, she had a tender irreducible lump below and to the right lateral to the umblilicus. CECT revealed a right-sided ovarian Spigelian hernia. The finding was confirmed at exploration and herniorrhaphy performed. She was discharged on the 3rd postoperative day.Diagnosing Spigelian hernia clinically is challenging but radiologic investigations like computed tomography help establish the diagnosis and clarify

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2017 International journal of surgery case reports

15. Abdominal wall ectopic testis torsion mimicking a Spigelian hernia in an adult (PubMed)

Abdominal wall ectopic testis torsion mimicking a Spigelian hernia in an adult We report an unusual case of an ectopic testis identified in a 37-year-old man presenting with acute severe right iliac fossa pain and an irreducible mass. Initially diagnosed as a Spigelian hernia, computed tomography and ultrasonography identified the presence of an ectopic testis in the abdominal wall. Interparietal testicular ectopia is an extremely rare condition. We present and discuss the first case

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2017 Annals of the Royal College of Surgeons of England

16. A rare presentation of Spigelian hernia involving the appendix (PubMed)

A rare presentation of Spigelian hernia involving the appendix Spigelian hernia (SH) is a rare entity accounting for 1-2% of ventral abdominal wall hernias. Elusive clinical signs and symptoms pose a diagnostic challenge and a consequent risk of strangulation. We present an emergent case of a Spigelian hernia involving the appendix.

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2017 European Journal of Radiology Open

17. Occult Spigelian Hernia Presenting as Inability to Complete Colon Cancer Screening in a Patient with a History of Rectal Cancer (PubMed)

Occult Spigelian Hernia Presenting as Inability to Complete Colon Cancer Screening in a Patient with a History of Rectal Cancer BACKGROUND While it is well known that abdominal wall hernias can pose obstacles for colonoscopy, these may not be obvious in obese patients, particularly when the hernia is in an unusual place. CASE REPORT A 62-year-old man presented with inability to complete colon cancer screening by means of colonoscopy or barium enema. On exam, he was noted to have a Spigelian (...) hernia present in his left lower quadrant abdominal wall. CT colonography identified incarcerated sigmoid colon within the hernia accounting for his inability to complete colonoscopy or barium enema. Repair of his Spigelian hernia was thus performed, allowing for ease of future colorectal cancer screening. CONCLUSIONS Colorectal cancer screening is an evidence-based benchmark for effective primary care, but is often ordered and interpreted like a blood test, without reference to the technical aspects

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2017 The American journal of case reports

18. Strangulation and necrosis of right hemicolon as an extremely rare complication of Spigelian hernia (PubMed)

Strangulation and necrosis of right hemicolon as an extremely rare complication of Spigelian hernia 27186195 2016 05 17 2019 01 11 1734-1922 12 2 2016 Apr 01 Archives of medical science : AMS Arch Med Sci Strangulation and necrosis of right hemicolon as an extremely rare complication of Spigelian hernia. 469-72 10.5114/aoms.2016.59273 Velimezis Georgios G Department of Surgery, Western Attica General Hospital, Athens, Greece. Vassos Nikolaos N Department of Surgery, University of Erlangen (...) of Surgery, University of Erlangen-Nuremberg, Erlangen, Germany. eng Journal Article 2016 04 12 Poland Arch Med Sci 101258257 1734-1922 2014 09 15 2014 11 10 2016 5 18 6 0 2016 5 18 6 0 2016 5 18 6 1 ppublish 27186195 10.5114/aoms.2016.59273 27377 PMC4848376 J R Coll Surg Edinb. 1996 Aug;41(4):241-3 8772073 Am J Gastroenterol. 1983 Aug;78(8):525-8 6881121 Am Surg. 2006 Jan;72(1):42-8 16494181 Surg Clin North Am. 2003 Oct;83(5):1235-53, viii 14533913 Hernia. 2003 Dec;7(4):178-80 12690534 Chirurg. 1982 May

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2016 Archives of medical science : AMS

19. Spigelian Hernia

Spigelian Hernia Spigelian Hernia Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Spigelian Hernia Spigelian Hernia Aka: Spigelian (...) : Strangulation Examine with patient standing Tender mass in abdominal wall Localized to 3-5 cm above inguinal ligament VI. References Degowin (1987) Diagnostic Examination, p. 489-96 Stevens (2013) Crit Dec Emerg Med 27(9): 2 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Spigelian Hernia." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics

2018 FP Notebook

20. Laparoscopic Spigelian Hernia Repair: A Systematic Review. (PubMed)

Laparoscopic Spigelian Hernia Repair: A Systematic Review. Spigelian hernias (SHs) account for 1% to 2% of abdominal wall hernias. Traditionally they have been repaired using an open technique. Since 1992, laparoscopic methods have become increasingly popular with various techniques being described in the literature. This systematic review aims to represent the current trends in laparoscopic repair of SHs.The databases MEDLINE and EMBASE were searched for appropriate terms regarding SH repair

2016 Surgical laparoscopy, endoscopy & percutaneous techniques

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