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Hernia

, Volume 5, Issue 2, pp 101–104 | Cite as

Recurrent Spigelian hernia: a rare cause of colonic obstruction

  •  J. Losanoff
  •  J. Jones
  •  B. Richman
Case Report

Abstract.

Spigelian hernia is considered a surgical rarity. Recent articles describe only six recurrent hernias and a scant number of patients with colonic obstruction resulting from incarceration. A patient with intestinal obstruction resulting from recurrent Spigelian hernia with strangulated colon is described. The patient underwent tension-free repair using a prosthetic mesh. Recent literature suggests that the deficiency of connective tissue in patients with hernias justifies the widespread use of permanent mesh for tissue reinforcement and avoidance of recurrences. The rare case presented should be regarded as an illustrative example for application of the tension-free repair principle in the definitive management of recurrent Spigelian hernia.

Spigelian hernia Recurrence Colonic obstruction Tension-free repair Prosthetic mesh 

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Copyright information

©  2001

Authors and Affiliations

  •  J. Losanoff
    • 1
  •  J. Jones
    • 1
  •  B. Richman
    • 1
  1. 1.Department of Surgery, M580 Health Sciences Center, University of Missouri-Columbia, One Hospital Drive, Columbia, MO 65212, USA

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