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Spigelian Hernia

A rare interparietal hernia through the linea semilunaris.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Spigelian Hernia?

Spigelian hernia is an interparietal abdominal wall hernia that protrudes through the aponeurosis of the transversus abdominis between the rectus muscle and the semilunar line, accounting for 0.12-2% of all abdominal hernias.

It is most often seen in women aged 40-70, located 0-6 cm above and lateral to the umbilicus, and presents with an intermittent palpable mass and dull abdominal pain. Because the sac stays beneath the external oblique aponeurosis, swelling is rarely visible.

Diagnosis is confirmed by abdominal ultrasound or CT. Because the spigelian defect is typically narrow and small (1-2 cm), the risk of incarceration and strangulation is high (15-30%) and surgical repair is recommended in all cases.

Symptoms

Lateral abdominal wall pain
Intermittent palpable mass
Pain that increases with movement
Discomfort while bending
Sudden severe pain (incarceration)
Nausea and vomiting (strangulation)
Localized tenderness in the lower quadrant

Risk Factors

Female sex
Age 40-70
Obesity
Multiparity
Chronic cough or COPD
Constipation
Connective tissue disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent lateral abdominal pain
  • Intermittent abdominal mass
  • Sudden severe pain
  • Nausea and vomiting
  • Localized tenderness on examination

Treatment Methods

01
Confirmation with abdominal CT
02
Open or laparoscopic mesh repair
03
Sublay or onlay technique
04
Same-day or short-stay discharge
05
Lifting restriction for 4-6 weeks
06
Bowel resection in incarceration
07
Postoperative wound monitoring

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.