Spigelian hernia correction

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Precise treatment for rare abdominal wall defects

A general surgery procedure to repair a rare defect along the spigelian fascia, in the lateral area of the abdominal wall. This condition often goes unnoticed until symptoms such as pain or a visible bulge appear.

How is this procedure performed? 

Performed under general anesthesia, the surgery involves making an incision at the hernia site or using laparoscopic techniques for a minimally invasive repair. The herniated tissue is repositioned and the defect is reinforced with sutures or a mesh implant. Recovery protocols focus on careful monitoring and a gradual return to activities. 

Why is this procedure important? 

Repairing a spigelian hernia is crucial to prevent complications such as incarceration or strangulation. Early intervention ensures effective relief and restores the strength and integrity of the abdominal wall.     

Warning signs

Signs that you may have a spigelian hernia

This hernia is often more difficult to identify than others, as it is located deeper in the abdominal wall. Pay attention to:
  • ✔
    Pain or discomfort in the lateral area of the abdomen, between the navel and the hip
  • ✔
    Bulge that may not always be visible or palpable
  • ✔
    Pain that worsens when lifting weights, coughing, or straining
  • ✔
    Intermittent symptoms that come and go

If you experience persistent or recurrent pain in this area, even without a clear bulge, a general surgery consultation is essential to investigate the cause. This hernia is often only confirmed with imaging tests.

Signs that require urgent evaluation

Sudden and severe pain, accompanied by nausea or vomiting, may indicate tissue strangulation. This is a situation that requires immediate medical attention.

The procedure

How the correction is made

Performed under general anesthesia, the surgery can be done through an incision at the hernia site or using laparoscopic techniques for a minimally invasive repair. 

The herniated tissue is repositioned and the defect is reinforced with sutures or a mesh implant, depending on the case. 

Recovery protocols focus on careful monitoring and a gradual return to daily activities.
With or without mesh

Depends on the size and location of the defect. The surgeon evaluates whether closure with sutures is sufficient or if additional reinforcement with surgical mesh is necessary.

Why it's important

Benefits of early intervention

As this hernia is less evident, the risk of incarceration or strangulation of the tissue is a particular concern when diagnosis is delayed.

Clinical evaluation

What is evaluated before the procedure

01

Location and size of the hernia

Detailed evaluation, often using ultrasound or CT scan, to determine the most appropriate surgical approach.

02

Tissue health

Confirmation of the viability of the herniated tissue.

03

Repair method

Decision on the use of sutures or mesh, depending on the necessary reinforcement.

04

Post-surgical care

Follow-up to optimize recovery and prevent complications.

Frequently asked questions

Common questions about this procedure

Why is it more difficult to diagnose a spigelian hernia?

Because it is located in a deeper layer of the abdominal wall, it often does not form a clear visible bulge, and diagnosis is frequently confirmed through imaging tests such as ultrasound or CT scan.

Is it a common hernia?

No. It is one of the rarest abdominal hernias, which can lead to delays in diagnosis if the symptoms are not correctly associated with this condition.

Does the surgery always use mesh?

It depends on the size and location of the defect. The surgeon evaluates whether closure with sutures is sufficient or if additional reinforcement with surgical mesh is necessary.

When should I seek urgent evaluation?

If the pain is sudden and severe, or accompanied by nausea, vomiting, or skin redness, it may indicate tissue strangulation, a situation that requires immediate medical attention.

What is evaluated during the procedure?

01.

Location and size of the hernia:

Detailed evaluation to determine the surgical approach.

02.

Tissue health:

Ensures the adequate viability of the herniated tissue.

03.

Repair method:

Decides on sutures or mesh for effective reinforcement.

04.

Post-surgical care:

Provides follow-up support to optimize recovery.

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