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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Related Experiment Video

Updated: Jul 9, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Spiegelian hernia: mesh or not?

Hsieh HF1, Chuang CH, Lin Ch

  • 1Department of Surgery, Yee-Zen General Hospital, Taoyuan, Taiwan.

Revista Espanola De Enfermedades Digestivas
|December 7, 2007
PubMed
Summary

Open surgical repair of Spigelian hernia, with or without preperitoneal mesh, yields similar positive outcomes. This study found no recurrence in either treatment group, indicating effective management for this uncommon hernia type.

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Last Updated: Jul 9, 2026

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Published on: September 11, 2021

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Area of Science:

  • Abdominal Surgery
  • Hernia Repair
  • Surgical Outcomes

Background:

  • Spigelian hernia is a rare abdominal wall defect.
  • Surgical repair is the standard treatment.
  • Mesh augmentation is a common surgical technique.

Purpose of the Study:

  • To evaluate the clinical outcomes of Spigelian hernia repair.
  • To compare open repair with preperitoneal mesh versus without mesh.
  • To assess recurrence rates and long-term results.

Main Methods:

  • Retrospective analysis of 11 Spigelian hernia cases.
  • Surgical treatment included open repair with or without preperitoneal mesh.
  • Evaluation of clinical characteristics, treatment, and outcomes.

Main Results:

  • 11 patients underwent surgical repair: 7 without mesh (Group A) and 4 with mesh (Group B).
  • No significant differences in patient demographics or hernia characteristics were observed between groups.
  • No recurrence was reported in either group during follow-up (mean 8.5 years for Group A, 6.7 years for Group B).

Conclusions:

  • Open surgical repair of Spigelian hernia provides good results, irrespective of mesh use.
  • Both techniques, with or without preperitoneal mesh, are effective in preventing recurrence.
  • Further research may explore patient selection criteria for mesh use in Spigelian hernia repair.