Case Report


Open preperitoneal repair in a patient of large spigelian hernia

1 Professor, Department of Surgery, Pt BD Sharma University of Health Sciences, PGIMS, Rohtak, Haryana, India

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Bhavinder Kumar Arora

Professor, Department of Surgery, Pt BD Sharma University of Health Sciences, PGIMS, Rohtak 124001, Haryana,

India

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Article ID: 101095Z01BA2020

doi: 10.5348/101095Z01BA2020CR

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How to cite this article

Arora BK. Open preperitoneal repair in a patient of large spigelian hernia. Int J Case Rep Images 2020;11:101095Z01BA2020.

ABSTRACT


Introduction: The spigelian hernia is very uncommonly diagnosed variety of anterior abdominal wall hernia. The radiological imaging with ultrasound and computed tomography (CT) scan is diagnostic.

Case Report: A 50-year-old female presented with a painless, self-reducible mass in the right lower abdomen. The size of mass was 14 × 11 cm. The clinical diagnosis of a large spigelian hernia was confirmed by ultrasound and CT scan. The patient was operated under general anesthesia and open preperitoneal mesh repair was done.

Conclusion: For repair of large size spigelian hernia, reinforcement with polypropylene mesh is recommended because of high recurrence rate of tissue repair. Open preperitoneal repair is a preferred technique over laparoscopic total extraperitoneal repair.

Keywords: Linea semilunaris, Preperitoneal mesh repair, Spigelian aponeurosis, Spigelian hernia

SUPPORTING INFORMATION


Author Contributions

Bhavinder Kumar Arora - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Author declares no conflict of interest.

Copyright

© 2020 Bhavinder Kumar Arora. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.