Skip to main content

Advertisement

SpringerLink
Log in

Outcomes After Spigelian Hernia Repair: A Nationwide Database Study

  • Original Scientific Report
  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Background

Spigelian hernia is a rare hernia of the abdominal wall. Due to lack of evidence, there is no standard recommendation for surgical technique of Spigelian hernia repair. The aim of this study was to evaluate the outcomes after open and laparoscopic, elective and emergency repair of Spigelian hernias on a nationwide basis.

Methods

Nationwide data from the Danish Ventral Hernia Database and the National Patient Registry was assessed to analyze outcomes after Spigelian hernia repair. A total of 365 patients were operated for Spigelian hernia in Denmark from 2007 to 2018. Ninety-day readmission, 90-day reoperation and long-term operation for recurrence were evaluated, as well as possible differences between open and laparoscopic, and elective and emergency repairs.

Results

Most of the patients (80.5%, 294/365) were operated by laparoscopic approach and 19.5% (71/365) were operated by open approach. Elective surgery was performed in 83.6% (305/365) of the patients and 16.4% (60/365) underwent emergency repair. There were no significant differences in 90-day readmission or reoperation rates between open or laparoscopic Spigelian hernia repairs, P = 0.778 and P = 0.531. Ninety-day readmission and 90-day reoperation rates were also comparable for elective versus emergency repair, P = 0.399 and P = 0.766. No difference was found in operation for recurrence rates between elective and emergency, nor open and laparoscopic Spigelian hernia repairs.

Conclusions

This study demonstrates that 16% of Spigelian hernia repairs are done in the emergency setting. Open and laparoscopic approach are comparable in terms of early readmission, reoperation, and recurrence rates.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Jamshidian M, Stanek S, Sferra J, Jamil T (2018) Robotic repair of symptomatic Spigelian hernias: a series of three cases and surgical technique review. J Robot Surg. https://doi.org/10.1007/s11701-017-0742-9

    Article  PubMed  Google Scholar 

  2. Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P (2006) Spigelian hernia: Surgical anatomy, embryology, and technique of repair. Am Surg 72:42–48

    Article  PubMed  Google Scholar 

  3. Barnes TG, McWhinnie DL (2016) Laparoscopic Spigelian Hernia Repair: a Systematic Review. Surg Laparosc Endosc Percutaneous Tech 26:265–270

    Article  Google Scholar 

  4. Malazgirt Z, Topgul K, Sokmen S et al (2006) Spigelian hernias: a prospective analysis of baseline parameters and surgical outcome of 34 consecutive patients. Hernia. https://doi.org/10.1007/s10029-006-0103-5

    Article  PubMed  Google Scholar 

  5. Page D, Hendahewa R (2020) An incarcerated Spigelian hernia with the appendix in the sac passing though all layers of the abdominal wall: an unusual cause for chronic right iliac fossa pain. J Surg Case Rep. https://doi.org/10.1093/jscr/rjaa099

    Article  PubMed  PubMed Central  Google Scholar 

  6. Lavin A, Gupta A, Lopez-Viego M, Buicko JL (2020) Incarcerated spigelian hernias: A rare cause of a high-grade small bowel obstruction. Cureus. https://doi.org/10.7759/cureus.7397

    Article  PubMed  PubMed Central  Google Scholar 

  7. Subramanya MS, Chakraborty J, Memon B, Memon MA (2010) Emergency intraperitoneal onlay mesh repair of incarcerated spigelian hernia. J Soc Laparoendosc Surg. https://doi.org/10.4293/108680810X12785289144683

    Article  Google Scholar 

  8. Larson DW, Farley DR (2002) Spigelian hernias: repair and outcome for 81 patients. World J Surg. https://doi.org/10.1007/s00268-002-6605-0

    Article  PubMed  Google Scholar 

  9. Hanzalova I, Schäfer M, Demartines N, Clerc D (2021) Spigelian hernia: current approaches to surgical treatment—a review. Hernia 26:1427–1433

    Article  PubMed  PubMed Central  Google Scholar 

  10. Carter JE, Mizes C (1992) Laparoscopic diagnosis and repair of spigelian hernia: report of a case and technique. Am J Obstet Gynecol. https://doi.org/10.1016/S0002-9378(11)91630-5

    Article  PubMed  Google Scholar 

  11. Moreno-Egea A, Carrasco L, Girela E et al (2002) Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial. Arch Surg. https://doi.org/10.1001/archsurg.137.11.1266

    Article  PubMed  Google Scholar 

  12. Henriksen NA, Kaufmann R, Simons MP et al (2020) EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances. BJS Open 4:342–353

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Helgstrand F, Jorgensen LN (2016) The Danish ventral hernia database—a valuable tool for quality assessment and research. Clin Epidemiol 8:719

    Article  PubMed  PubMed Central  Google Scholar 

  14. von Elm E, Altman DG, Egger M et al (2007) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. https://doi.org/10.1016/S0140-6736(07)61602-X

    Article  Google Scholar 

  15. Helgstrand F, Rosenberg J, Kehlet H, Bisgaard T (2013) Outcomes after emergency versus elective ventral hernia repair: a prospective nationwide study. World J Surg. https://doi.org/10.1007/s00268-013-2123-5

    Article  PubMed  Google Scholar 

  16. Juul N, Henriksen NA, Jensen KK (2021) Increased risk of postoperative complications with retromuscular mesh placement in emergency incisional hernia repair: a nationwide register-based cohort study. Scand J Surg. https://doi.org/10.1177/1457496920966237

    Article  PubMed  Google Scholar 

  17. Dissanayake B, Burstow MJ, Yuide PJ et al (2020) Early outcomes of emergency ventral hernia repair in a cohort of poorly optimized patients. ANZ J Surg. https://doi.org/10.1111/ans.16020

    Article  PubMed  Google Scholar 

  18. Helgstrand F (2016) National results after ventral hernia repair. Dan Med J 63:B5258

    PubMed  Google Scholar 

  19. Hajibandeh S, Hajibandeh S, Sreh A et al (2017) Laparoscopic versus open umbilical or paraumbilical hernia repair: a systematic review and meta-analysis. Hernia 21:905–916

    Article  CAS  PubMed  Google Scholar 

  20. Webber V, Low C, Skipworth RJE et al (2017) Contemporary thoughts on the management of spigelian hernia. Hernia. https://doi.org/10.1007/s10029-017-1579-x

    Article  PubMed  Google Scholar 

  21. Gedebou TM, Neubauer W (1998) Laparoscopic repair of bilateral spigelian and inguinal hernias. Surg Endosc. https://doi.org/10.1007/s004649900873

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Hvidovre Hospital, Kettegård Alle 30, 2650, Hvidovre, Denmark

    Lise Lode

  2. Digestive Disease Center, Bispebjerg Hospital, Copenhagen, Denmark

    Kristian K. Jensen

  3. Department of Surgery, Zealand University Hospital, Koege, Denmark

    Frederik Helgstrand

  4. Department of Gastrointestinal- and Hepatic Diseases, Surgical Section, Copenhagen University Hospital, Herlev, Denmark

    Nadia A. Henriksen

Authors
  1. Lise Lode
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kristian K. Jensen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Frederik Helgstrand
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nadia A. Henriksen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lise Lode.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lode, L., Jensen, K.K., Helgstrand, F. et al. Outcomes After Spigelian Hernia Repair: A Nationwide Database Study. World J Surg 47, 1184–1189 (2023). https://doi.org/10.1007/s00268-023-06923-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-023-06923-8

Search

Navigation