Spigelian hernia repair
A general surgery procedure to repair a rare defect along the Spigelian fascia, in the lateral wall of the abdomen. This condition often goes unnoticed until symptoms such as pain or a visible bulge appear.
Signs you may have a Spigelian hernia
This hernia is often harder to identify than others, because it sits deeper in the abdominal wall. Look out for:
- ✓Pain or discomfort in the side of the abdomen, between the navel and the hip
- ✓A bulge that may not always be visible or palpable
- ✓Pain that worsens when lifting, coughing or straining
- ✓Intermittent symptoms that come and go
If you have persistent or recurring pain in this area, even without a clear bulge, a general surgery consultation is important to investigate the cause. This hernia is often only confirmed through imaging.
Sudden severe pain, alongside nausea or vomiting, can indicate strangulation of the tissue.
This situation requires immediate medical attention.
How the repair is performed
Carried out under general anaesthetic, the surgery can be performed through an incision at the site of the hernia 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.
It depends on the size and location of the defect. The surgeon assesses whether closing it with sutures is enough or whether additional reinforcement with surgical mesh is needed.
Benefits of early treatment
Because this hernia is less obvious, the risk of incarceration or strangulation of the tissue is a particular concern when the diagnosis comes late.
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✓
Prevention of complications — reduces the risks associated with untreated hernias.
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✓
Getting comfort back — relieves the pain and discomfort caused by the hernia.
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✓
Greater mobility — allows a return to normal activities without limitations.
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✓
Lasting results — reinforces the abdominal wall, preventing recurrence.
What is assessed before the procedure
Location and size of the hernia
Detailed assessment, often using ultrasound or a CT scan, to determine the most suitable surgical approach.
Tissue health
Confirming the viability of the herniated tissue.
Repair method
Deciding between sutures and mesh, depending on the reinforcement needed.
Post-surgical care
Follow-up to optimise recovery and prevent complications.
Common questions about this procedure
Why is a Spigelian hernia harder to diagnose?+
Because it sits in a deeper layer of the abdominal wall, it often does not form a clearly visible bulge, so the diagnosis is frequently confirmed through imaging such as ultrasound or a 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 linked to this condition.
Is mesh always used in the surgery?+
It depends on the size and location of the defect. The surgeon assesses whether closing it with sutures is enough or whether additional reinforcement with surgical mesh is needed.
When should I seek urgent assessment?+
If the pain is sudden and severe, or comes with nausea, vomiting or redness of the skin, it can indicate strangulation of the tissue, a situation requiring immediate medical attention.
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Precise treatment for rare abdominal wall defects, with thorough diagnosis and the right technique for your case.
