Do all Spigelian hernias need surgery?

Fast facts on spigelian hernias: Once a hernia appears, surgical treatment is the only way to repair it. Spigelian hernias carry a high risk of complications, so it is important to seek prompt medical care. Spigelian hernias are rare but occur more frequently in women than men, especially between the ages of 30 to 70.

How long does spigelian hernia surgery take?

These complications are rare with spigelian hernias. The operation takes around 30 minutes to perform. Local anaesthetic is usually injected into the wounds at the end of the procedure. The wound is usually closed with a dissolvable suture or wound glue.

What is a spigelian hernia and what causes it?

A spigelian hernia is relatively rare, usually developing after age 50, primarily in men. The cause is usually a weakening of the abdominal wall, trauma, or prolonged physical stress. Spigelian hernias are sometimes challenging to diagnose or mistaken for other abdominal conditions.

How big is a spigelian hernia?

Spigelian hernias are rare compared to other types of hernias because they do not develop under abdominal layers of fat but between fascia tissue that connects to muscle. The Spigelian hernia is generally smaller in diameter, typically measuring 1–2 cm., and the risk of tissue becoming strangulated is high.

Can you feel a Spigelian hernia?

Symptoms of a Spigelian hernia vary from person to person and range from mild to severe. A common sign of this hernia is a lump or bulge either below or to the side of the belly button. The lump may feel soft to the touch. Another symptom is constant or intermittent abdominal pain .

Is a Spigelian hernia an emergency?

With the rapid expansion of the indications for minimal access surgery in emergency situations,1 Spigelian hernias, which are rare emergencies, are increasingly tackled using a laparoscopic approach leading to swift patient recovery and discharge.

How rare is a Spigelian hernia?

Diagnosis of a Spigelian hernia But any hernia that causes pain needs medical attention. A spigelian hernia will not resolve without treatment. Doctors can typically diagnose an ordinary hernia upon completion of a physical examination. Spigelian hernias are more challenging to diagnose.

What is incarcerated Spigelian hernia?

Spigelian hernias are rare abdominal wall defects that occur at the semilunar line lateral to the rectus abdominis muscle. The majority of patients present with symptomatic incarceration of preperitoneal fat or intra-abdominal viscera. Radiographic studies are beneficial in confirming the diagnosis.

What is a common complication of Spigelian hernias?

Spigelian hernias are treacherous and have a real risk of strangulation. The risk of strangulation is higher because of sharp fascial margin around the defect. Richter type of hernia has also been reported to occur with spigelian hernia. For this reason, surgery should be advised in all patients.

Can a CT scan detect a Spigelian hernia?

The hernia can be diagnosed by either CT or ultrasound scan, but these can be falsely negative, and unequivocal radiological diagnosis prior to surgery is rare.

Are Spigelian hernias reducible?

Spigelian hernia is a rare type of hernia. It can be congenital or acquired. Patients usually have a painful mass in the mid-to-lower abdomen, which is sometimes reducible in the supine position. Because of its high rate of incarceration, surgery should be performed as soon as a Spigelian hernia is diagnosed.

What is Spigelian fascia?

The Spigelian fascia is located lateral to the rectus abdominis muscle along the linea semilunaris, or semilunar line. This layer is comprised of aponeuroses located between the rectus abdominis medially and the semilunar line laterally.

How long is recovery time after hernia repair surgery?

Recovery from hernia mesh surgery can take four to six weeks. Tips to improve recovery from hernia surgery include resting, exercising, eating healthy and following the doctor’s orders. Patients should wait 24 hours after the procedure before showering. Between one and four days after surgery, patients should perform only necessary daily functions.

How do you repair an abdominal wall hernia?

An open hernia repair is performed under a local anesthetic and sedation or general anesthetic. The surgeon performs the procedure through an incision, pushing the hernia contents into its proper position behind the muscle wall. The muscle wall is then reinforced with stitches or synthetic mesh to complete the repair.

What are the signs of a strangulated hiatal hernia?

Hiatal Hernia Types. There are two types of hiatal hernias.

General Symptoms. Symptoms of a hiatal hernia include a sensation of pain or pressure in the chest.

Strangulated Hiatal Hernia. A paraesophageal hiatal hernia may become trapped in the chest and be unable to return to the abdomen.

What are the symptoms of a lateral hernia?

An obvious swelling beneath the skin of the abdomen or the groin; it may disappear when you lie down and may be tender. A heavy feeling in the abdomen that is sometimes accompanied by constipation or blood in the stool. Discomfort in the abdomen or groin when lifting or bending over.