Do Spigelian Hernias Need Surgery?

Spigelian hernias are treacherous and have a real risk of strangulation. The risk of strangulation is higher because of sharp fascial margin around the defect. Richter type of hernia has also been reported to occur with spigelian hernia. For this reason, surgery should be advised in all patients.

How serious is a spigelian hernia?

A spigelian hernia can occur on either side of the abdomen, but most people feel pain in the lower abdomen. A spigelian hernia can block the bowel or other vital organs. When this occurs, it is a life-threatening complication that requires immediate medical attention.

How do you fix a spigelian hernia?

Hernia repair surgery is the only way to treat a spigelian hernia. The decision to have surgery is based on the size of the hernia and whether you experience pain. If you choose surgery, a surgeon can perform an open mesh repair by making an incision in your abdomen near the hernia.