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Spigelian Hernia

Spigelian Hernia

Spigelian Hernia

A Spigelian Hernia is an uncommon type of hernia that occurs in the abdominal wall, slightly to the side of the upper abdomen. It can be repaired in a similar way to most other hernias using tension-free mesh reinforcement. Early symptoms may include a bulge appearing to the side below your navel or discomfort that may become more painful when lifting heavy objects or when 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

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Spigelian Hernia

A Spigelian Hernia is a rare type of hernia that occurs in the abdominal wall, slightly to the side of the upper abdomen. It can be repaired using tension-free mesh reinforcement, like the majority of other hernias.  The most common sign of a Spigelian Hernia is a bulge to the side or below your navel that may become more painful when lifting heavy objects or when coughing.

Causes 

This type of hernia protrudes through a weakness in the muscle fibres of the abdominal wall.

Factors that can contribute towards a Spigelian Hernia include:

  • Obesity
  • Sports activity
  • Coughing
  • 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

Spigelian Hernia Symptoms

A Spigelian Hernia can be difficult to diagnose as there often aren’t any physical symptoms.

Common symptoms:

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

Diagnosis Of Spigelian Hernia

Spigelian Hernias  tricky to detect. As they tend to have a narrow neck, are usually quite small and are situated under the aponeurosis (a sheet of fibrous tissue), they are often not often seen or felt (by doctors). Therefore an ultrasound or CT-scan may be required to confirm of the diagnosis. A consultant can then begin Spigelian Hernia repair.

Spigelian Hernia Treatment 

The Spigelian Hernia repair procedure can be carried out under local or general anaesthetic. Surgery is usually required to treat this type of hernia as it can be prone to strangulation. The Tension-free open mesh procure that has been perfected by London Hernia consultants over many years, can be used.

Is No Treatment An Option?

Many hernias do not hurt so the temptation is to ignore them. 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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