ReviewHernia : the journal of hernias and abdominal wall surgery2022
Spigelian hernia: current approaches to surgical treatment-a review.
Review in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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Who cites it
38 citing papers in PubMed.
- Diagnostic and therapeutic challenges of a bilateral spigelian hernia: A case report with literature review.International journal of surgery case reports · 2026Article
- Elective transabdominal preperitoneal repair of an incidentally detected spigelian hernia with massive sigmoid colon protrusion through a small fascial defect: a case report.International journal of surgery case reports · 2026Article
- ICG-guided bowel preservation during emergency TAPP repair for incarcerated Spigelian hernia: a case report.Journal of surgical case reports · 2026Article
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- The Posterior Rectus Sheath Incision (PRSI) to allow the repair of Spigelian Hernias by TEP.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Incarcerated Spigelian Hernia: A Case Report.Cureus · 2026Article
- Spigelian Hernia: The Unseen Among the Usual.Cureus · 2026Article
- Sacless Spigelian hernia: a rare diagnostic and operative challenge-a case report.Journal of surgical case reports · 2026Article
- A Case of Congenital Spigelian Hernia Requiring Reoperation due to Recurrence.Journal of plastic and reconstructive surgery · 2026Article
- Distinguishing abdominal wall denervation injury from normal anatomy via cross section imaging.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Simultaneous Management of May-Thurner Syndrome and Spigelian Hernia: A Case Report.The American journal of case reports · 2026Article
- Parainguinal or Spigelian hernia: a clinically important distinction.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Revisiting Spigelian hernia with emphasis on diagnostic challenges and outcomes of open mesh repair: a case report of two patients.International journal of emergency medicine · 2026Article
- Strangulated Posterior Rectus Sheath Hernia with Contained Small-Bowel Perforation and Abdominal Wall Necrotizing Infection: A Case Report.Open access emergency medicine : OAEM · 2026Article
- Spigelian Hernia Following Laparoscopic Hysterectomy: Case Report and Review of the Literature.Cureus · 2025Article
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- Article
- Pediatric Spigelian Hernia and Spigelian-Cryptorchidism Syndrome: An Integrative Review.Children (Basel, Switzerland) · 2025Review
- Evidence-based, cost-effective management of abdominal wall hernias: An algorithm of the Journal of Trauma and Acute Care Surgery emergency general surgery algorithms work group.The journal of trauma and acute care surgery · 2025Article
- Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpigelian hernias (SpH) belong to the group of eponymous abdominal wall hernias. Major reasons for diagnostic difficulties are its low incidence reaching maximum 2% of abdominal wall hernias, a specific anatomical localization with intact external oblique aponeurosis covering the hernia sac and non-constant clinical presentation.
methodsA literature review was completed to summarize current knowledge on surgical treatment options and results.
resultsSpH presents a high incarceration risk and therefore should be operated upon even if the patient is asymptomatic. Both laparoscopic and open repair approaches are validated by current guidelines with lesser postoperative complications and shorter hospital stay in favour of minimally invasive surgery, regardless of the technique used. Overall recurrence rate is very low.
conclusionAll diagnosed SpH should be planned for elective operation to prevent strangulated hernia and, therefore emergency surgery. Both open and laparoscopic SpH treatment can be safely performed, depending on surgeon's experience. In most cases, a mesh repair is generally advised.
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