Spigelian Hernia: A Clinical Case Report.
Tran Phung Dung Tien1, Nguyen Ngoc Huan1, Lam Viet Trung1
1Digestive Surgery, Cho Ray Hospital, Ho Chi Minh City, VNM.
Cureus
|November 7, 2023
Summary
Spigelian hernia, a rare ventral hernia within abdominal muscles, can cause intestinal obstruction. Surgical abdominal wall reconstruction using the sublay technique offers a safe and effective treatment with minimal complications.
Area of Science:
- Abdominal surgery
- Hernia repair
- Surgical techniques
Background:
- Spigelian hernia, or lateral ventral hernia, arises through the Spigelian aponeurosis, distinct from other ventral hernias by its intra-muscular location within the abdominal wall.
- This condition often presents asymptomatically, leading to delayed diagnosis and potential complications such as intestinal obstruction.
Observation:
- A case report details an 87-year-old female patient presenting with lower left quadrant abdominal pain and swelling.
- Preoperative diagnosis confirmed Spigelian hernia causing intestinal obstruction.
Findings:
- The patient underwent emergency abdominal wall reconstruction utilizing the sublay technique.
- The sublay technique for Spigelian hernia repair is associated with reduced postoperative complications and shorter hospital stays, as supported by global reports.
Implications:
- Accurate identification and evaluation of potential hernia cases are vital for patient safety during surgical procedures.
- This case highlights the feasibility and efficacy of the sublay technique in managing Spigelian hernias, particularly in elderly patients.
- The report contributes to the limited literature on Spigelian hernias, especially in regions like Vietnam where no prior reports exist.
