Spigelian Hernia 1437-1440
Dr. Leo Francis Tauro, Dept. of General surgery,
Fr. Mullerâ€™s Medical College, Kankanady, Mangalore-2 (India).
Spigelian hernia is defined as a protrusion of a viscus or preperitoneal fat through a congenital or acquired defect in the spigelian fascia. Spigelian fascia is the part of the aponeurosis that lies between the semi lunar line and the lateral rectus muscle. Approximately 900 spigelian hernias, representing 1% to 2% of all abdominal wall hernias, have been reported in the world literature. Its true incidence is probably greater than the relatively small number of patients reported in the literature. The absence of typical hernia-type symptoms and the physicianâ€™s lack of experience with such hernias, make early recognition difficult. Ultrasound scan and CT scan can identify spigelian hernia. Surgical repair can be undertaken using either a direct approach, or laparoscopy. CT scan and laparoscopy help in early diagnosis and in avoiding complications. We report here, the case of a 63 year old female patient with a spigelian hernia who underwent open pre-peritoneal mesh repair.