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Spigelian Hernia

Spigelian Hernia

Spigelian Hernia

Spigelian hernia is a less common hernia in the abdominal wall, slightly to the side of the upper abdomen. They are repaired in the same way as the majority of hernias with tension-free mesh reinforcement. Early symptoms may include a bulge appearing to the side and below your navel and a certain amount of discomfort that may become more painful when lifting heavy objects or through coughing.

 

Make An Appointment

To ask a question, make an enquiry or book an appointment, contact our specialist team who are available between Monday – Friday 8am – 6pm and on Saturday from 9.00am to 2.00pm. Our hernia team have a dedicated and caring approach and will seek to find you the earliest appointment possible with the correct specialist for your needs.

If you are self-paying you don’t need a referral from your GP. You can simply refer yourself and book an appointment.

If you have medical insurance (e.g. Bupa, Axa PPP, Aviva), you will need to contact your insurer to get authorisation for any treatment and, in most cases, you will require a referral letter from your GP.

If you do not have a GP, then we have an in-house private GP practice that you can use. Alternatively we can suggest the most appropriate course of action for you to take, given your location and individual circumstance.

Make an Enquiry

Spigelian Hernia

Spigelian hernia is a rare hernia located in the abdominal wall, slightly to the side of the upper abdomen. A spigelian hernia is repaired in the same way as most other hernias by using tension-free mesh reinforcement. Symptoms of a spigelian hernia can include a bulge appearing to the side and below your navel and a certain amount of discomfort that may become more painful when lifting heavy objects or through coughing.

Cause Of Spigelian Hernia

This type of hernia protrudes through a weakness between the muscle fibres of the abdominal wall. Factors that can contribute to causing a spigelian hernia include obesity, sports activity, coughing and heavy lifting.

 

Spigelian Hernia

Figure 1. Anatomy of abdominal wall.


1:
Linea semilunaris (spigelian); 2: Rectus abdominis muscle;
3: Transversus abdominal muscle; 4: Spigelian aponeurosis; 5: Linea semicircularis

Symptoms Of Spigelian Hernia

A spigelian hernia can be difficult to diagnose due to the lack of obvious symptoms. Below are some of the known symptoms.

  • Poor bowel function
  • Constipation
  • Dull ache in the abdominal area
  • Recurring pain especially during activity

Diagnosis Of Spigelian Hernia

Spigelian hernias tend to have a narrow neck and are usually small and often start with pain or discomfort in the area – lower abdominal wall on the right or the left. Below the level of the umbilicus or navel. The bulge of the hernia is not often seen or felt (by doctors) as it lies beneath the aponeurosis (tendon like covering sheath) of the external oblique muscle. Confirmation of the diagnosis may require ultrasound or CT-scan.

Treatment Of Spigelian Hernia

Surgery under local or general anaesthetic is usually required to treat this type of hernia as it can be prone to strangulation. Typical surgery methods include tension-free open mesh that has been perfected by London Hernia consultants over many years.

Is No Treatment An Option?

Many hernias do not hurt so the temptation is to leave them and get on with life. However, failing to get medical advice can be damaging and is not recommended. If left the hernia will grow and discomfort and pain, even if negligible to start with, will intensify.

Book Spigelian Hernia Appointment

To ask a question or book an appointment you can contact us by calling 020 3370 1014 or by emailing londonhernia@hje.org.uk.

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