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Spigelian hernia in gynaecology.

Anastasia Ussia1,2, Fabio Imperato1, Larissa Schindler3

  • 1Villa Del Rosario, Rome, Italy.

Gynecological Surgery
|June 13, 2017
PubMed
Summary

Spigelian hernias are rare abdominal wall hernias often missed in gynecology. Increased awareness is crucial for timely diagnosis and appropriate laparoscopic or mesh repair.

Keywords:
Deep endometriosisEndometriosisPelvic painSpigelian hernia

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Area of Science:

  • Gynecologic surgery
  • Abdominal wall anatomy

Background:

  • Spigelian hernia: a rare defect in the Spigelian fascia.
  • Symptoms include localized pain, palpable mass, or bowel obstruction.
  • Underrecognized in gynecology, potentially linked to trocar insertion.

Purpose of the Study:

  • Increase gynecological awareness of Spigelian hernias.
  • Highlight diagnostic challenges and management strategies.

Main Methods:

  • Literature review focused on Spigelian hernias in gynecology.
  • Case report illustrating delayed diagnosis.

Main Results:

  • Spigelian hernias are frequently overlooked in women.
  • Delayed diagnosis, even with laparoscopy, is common.
  • Small hernias may go untreated if not identified.

Conclusions:

  • Consider Spigelian hernia in women with infraumbilical abdominal wall pain.
  • Laparoscopic repair without mesh for smaller defects.
  • Mesh repair indicated for larger Spigelian hernias.