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Cirugía paraguaya

On-line version ISSN 2307-0420


FERREIRA, Rosa et al. SPIGELIAN HERNIA. OUR EXPERIENCE. Rev. Cir. Parag. [online]. 2016, vol.40, n.2, pp.24-26. ISSN 2307-0420.


Spigelian Hernia is a rare abdominal wall disease, often localizated in semilunar line. Most of the time it appeas under external oblique muscle, because of that, sometimes the diagnosis can be difficult.


To describe the experience in the diagnosis and treatment of Spigelian Hernia.

Patient and methods:

An observational, retrospective study of patients with Spigelian Hernia, at the Second Service of Surgery, between March of 1998 to December of 2015.


14 patients were diagnosed of Spigelian Hernia, 8 women and 6 men, with an average age of 57 years (±50-85). The main reason from consultation was abdominal pain with a lateral abdominal tumor. Clinical suspicious was confirm by ultrasonography in 8 cases and CT scan revealed the other 6. Surgical treatment in all cases was performed without tension using a polipropilene mesh; in 3 of them they use a plug and in the other 11 a sublay mesh to reinforce the external oblique fascia. They don´t have any complications.


The diagnosis of Spigelian Hernia is not simple, is important to attach a image study. A tension free surgical technique, a sublaymesh, are options to have success.

Keywords : spigelian hernia; hernioplasty..

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )