Amongst the broad classifications of hernia type Spigelian hernia is a rare kind of hernia condition that is also counted in the types of hernia. Have you recently come across the term ‘Spigelian hernia’? Well, here is all the essential information that will ensure you clear your doubts and troubles to understand this particular ailment. 

What is a Spigelian Hernia?

Due to the posterior sheath deficiency which is found in the lower abdomen part of the body, Spigelian Hernia starts to show up and develop. 

Also, when the front abdominal muscles appear to form a lump, it can lead to the occurrence of a Spigelian hernia. 

Spigelian Hernia Causes 

Some quick causes are prolonged physical stress, continuous training, or weakness in the abdomen wall muscles. 

But, at the same time, the case of developing a Spigelian hernia is comparatively rare, occurs usually after 50 years of age, and mostly affects the male population only. 

Spigelian Hernia Symptoms 

The symptoms of a Spigelian hernia help the doctor to understand the condition of an individual patient. Therefore, anyone with a Spigelian hernia can see any one or more of these signs. 

  • 1. Bowel Movement Obstructions 
  • 2. Continuous straining 
  • 3. Chronic constipation 
  • 4. Abdominal pain 
  • 5. Blood in stools
  • 6. Rapidly increasing pain or discomfort 

Spigelian Hernia Diagnosis 

It is to note that the causes cannot alone help in detecting and treating Spigelian hernia every time. Sometimes, the process to find an accurate diagnosis is quite challenging for the medical team. 

But, in general procedure the steps of Spigelian hernia detection and diagnosis, the surgeon follows these given steps. 

  • 1. Personal history of the patient  Firstly, the doctor will have a thorough interaction regarding the personal and family history of the patient, to understand their past treatments and surgeries along with genetic conditions in the family. 
  • 2. Past medical conditions Next, a proper understanding of all the past health complications and any past or present medications the patient is following. 
  • 3. Physical exam This is an essential step where the doctor will have a closer look at the patient’s grown hernia bulge and examine the affected area properly. 
  • 4. Imaging tests Now, the final test that might be required by the doctor to plan the surgery accordingly are Ultrasound and CT scan.

Spigelian Hernia Treatment 

The Spigelian hernia has been known as one of those difficult medical conditions. Therefore, a Spigelian hernia in almost all diagnosed cases as advised by the surgeon needs to be treated by any of the two given surgical methods namely regular surgical method and laparoscopic repair. 

The patients are strictly advised not to set delays or doubts and get the treatment as soon as it is medically diagnosed. This type of hernia condition does not improve or repair completely on its own. Therefore, surgery is the best as well as the only solution. 

How serious is Spigelian Hernia 

Firstly, a Spigelian hernia can turn into strangulated hernia which is life-threatening. Therefore, the Spigelian hernia itself is of serious concern and a case for immediate treatment. 

Also, in some cases, it has been noted that a Spigelian hernia also has the chance of turning into a richer hernia condition. 

This puts the medical experts in an absolute need for the patient to undergo surgical treatment for the proper correction and repair of a Spigelian hernia. 

What happens if a Spigelian hernia is left untreated 

Similar to the above case, the serious Spigelian hernia condition is a Spigelian hernia that is neglected or left untreated leading to the strangulation of the hernia. Therefore, if left untreated can result in a dangerous condition and more issues can develop. 

When to see a doctor 

The correct time to consult an experienced surgeon is as soon as the patient is diagnosed with a Spigelian hernia. 

That is, there should be no more delays in the treatment and with the surgeon’s approval, the final surgery should be planned immediately. 

Frequently Asked Questions

Q. What is the cause of Spigelian hernia?

The major cause of Spigelian hernia is an abdominal wall weakening or the opening in the affected area. 

In addition, some more causes that trigger a Spigelian hernia include standing continuously for excessive time, straining or pressure, continuous coughing, fluid collection, obesity, or pregnancy. 

Q. How serious is a Spigelian hernia?

A person with a developing Spigelian hernia can lead to the most common complication that is found with this ailment, which is strangulation of the hernia.  

Therefore, it is known to be one of the most dangerous and life risky types of hernia. This is a serious medical condition and needs to be assisted as an emergency. 

Q. Where is Spigelian hernia located?

The most commonly detected Spigelian hernia location is the lower abdomen. But, at times, it can be located at different points in the abdomen area. 

Also, It is not an easy case of hernia and is unlike any other type of hernia. This is why diagnosis and accurate detection is quite a tricky task for surgeons. 

Q. What can be mistaken for a Spigelian hernia?

Sometimes, diagnostics can be misled and an intraparietal hernia can be misunderstood for a Spigelian hernia which is a rare form of inguinal hernia condition. 

Therefore, the two conditions namely Spigelian hernia and intraparietal hernia cause difficulties to be accurately diagnosed and operated on.

Q. Can you live with a Spigelian hernia?

The amount of pain, discomfort, or any other symptoms are essential factors that decide if an individual can stay lifelong with a Spigelian hernia. 

Therefore this completely depends on the severity of the condition or if the patient is having physical pain or not. 

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