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EspañolSPIGELIAN HERNIA
A 'Spigelian hernia' (or 'lateral ventral hernia') is a hernia through the spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. These hernias almost always develop at or below the linea arcuata, probably because of the lack of posterior rectus sheath. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall; therefore, there is often no notable swelling.
Most of these hernias are small, and, as such, there is a high risk of strangulation. Most of them develop around age 50 (4th-7th decade of life). As an entity, they are rare, Spigelian hernias: repair and outcome for 81 patients, Larson DW, Farley DR, , , World journal of surgery, 2002 when compared other types of hernias.
Patients typically present with either an intermittent mass, localized pain, or signs of bowel obstruction. Ultrasonography or a CT scan can establish the diagnosis.
These hernias should be repaired because of the high risk of strangulation;[1] fortunately, surgery is straight-forward, with only larger defects requiring a mesh prosthesis.
Adriaan van den Spiegel, a surgeon-anatomist born in Brussels, described this hernia in 1645.
1. Incidence and outcome of surgical repair of spigelian hernia, Vos DI, Scheltinga MR, , , The British journal of surgery, 2004
★ http://www.whonamedit.com/doctor.cfm/2280.html
★ http://www.gpnotebook.co.uk/cache/322240537.htm
Most of these hernias are small, and, as such, there is a high risk of strangulation. Most of them develop around age 50 (4th-7th decade of life). As an entity, they are rare, Spigelian hernias: repair and outcome for 81 patients, Larson DW, Farley DR, , , World journal of surgery, 2002 when compared other types of hernias.
| Contents |
| Symptoms and diagnosis |
| Treatment |
| Eponym |
| References |
| External links |
Symptoms and diagnosis
Patients typically present with either an intermittent mass, localized pain, or signs of bowel obstruction. Ultrasonography or a CT scan can establish the diagnosis.
Treatment
These hernias should be repaired because of the high risk of strangulation;[1] fortunately, surgery is straight-forward, with only larger defects requiring a mesh prosthesis.
Eponym
Adriaan van den Spiegel, a surgeon-anatomist born in Brussels, described this hernia in 1645.
References
1. Incidence and outcome of surgical repair of spigelian hernia, Vos DI, Scheltinga MR, , , The British journal of surgery, 2004
External links
★ http://www.whonamedit.com/doctor.cfm/2280.html
★ http://www.gpnotebook.co.uk/cache/322240537.htm
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