Treatment of Ventral Hernia Presenting as Spigelian Hernia

Clinical Scenario

This protocol addresses ventral hernia specifically in the context of a Spigelian hernia — a protrusion through a defect in the aponeurosis of the transverse abdominal muscle, bounded by the semilunar line and the lateral edge of the rectus muscle.

Treatment Approach

Mesh-based surgical repair is the recommended intervention for Spigelian hernia. The complete protocol specifies how the operative approach is selected and what additional surgical considerations apply.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1002/bjs5.50252

A Spigelian hernia is a protrusion through a defect in the aponeurosis of the transverse abdominal muscle limited by the semilunar line and the lateral edge of the rectus muscle.

It is suggested to repair a Spigelian hernia with the use of mesh. An open or laparoscopic approach may be used, based on the surgeon's expertise.

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