Doctor insights on:
Tests For Spigelian Hernia
Three options: At 60 you've probably had this thing pop out intermittently for years. Formerly it was common to make an incision and repair the defect. Today there are other options. 1; A minimally invasive approach using a laparocsope to patch the opening from within. 2. Plugging the opening with a mesh through a small incision. If it was my hernia this is what I would choose. ...Read more
A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone ...Read more
Not Exactly...: ...However, it is possible to develop an incisional hernia associated with prior abdominal surgery, especially with midline incisions.Typically this is repaired w/mesh via a laparoscopic or open approach.A spigelian hernia is a rare type of hernia that develops along a natural weak point along the lower edge of the rectus muscle, between the belly button&groin. These usually require ct for dx. ...Read moreSee 1 more doctor answer
Typical: It is very common to get a fluid collection in the same location as the hernia when repaired laparoscopically. This is called a seroma, and they almost always get reabsorbed within 3-6 months. Open repair is associated with a firm ridge under the incision due to the proliferative wound healing phase - this healing ridge resolves in 6-8 weeks. ...Read moreSee 2 more doctor answers
Sliding hernia or spigelian hernia, which one has a higher chance of causing intestinal obstruction?
Depends: Depends on the size of the defect in the abdominal wall, and whether or not there is intestine that is included in the herniated contents. Both types of hernia can and have in the past caused intestinal obstruction. Odds are in your favor that it will not cause an obstruction. That does not predict the future however. See a general surgeon for consultation to find out more. ...Read more
Does extended periods of sitting and bowl movements cause pain with a small Spigelian Hernia. How would this type of hernia cause back pain?
Possible: Hernia symptoms typically cause pain at the location of the hernia, a bulge at the same location, and if the intestines are herniated, could cause trouble with the GI tract such as crampy pain or some difficulty with bowel movements. If the bladder is involved, there could be difficulty urinating. Back is usually only caused by large hernias. Best to see a general surgeon for a consultation. ...Read more
I have a diagnosed spigelian hernia, my right abdomen is very sore but no lump and I have had diarrhea for 12 days. Are these connected?
Possibly: Spigelian hernias are notoriously difficult to diagnose since the hernia is in the inner muscle layer of the abdominal wall; since there is intact fascia above the hernia, one often cannot see or feel a bulge. Therefore, your pain certainly may be due to the hernia. Diarrhea is rarely due to hernias, but it's possible. More importantly, if you have a spigelian hernia, you should have it repaired. ...Read more
My wife had a spigelian hernia from college sports repaired via a mesh patch about 3 years ago. How should we approach her first pregnancy?
Nothing special: Should cause a problem at all. Let you OB know if she needs a c-section. Consider getting he old operative report. I have seen many women with prior mesh ventral hernia repairs do very well with pregnancy, and both vaginal delivery and c-section. Best of luck! ...Read moreSee 1 more doctor answer
Luq/mq pain, neg ct, surgeon appt, dd spigelian hernia r/t c/o's . 4/5/13 abd u/s it incr pain x 10 on left--tearful. Ur thoughts on why painful?
Need FaceToFace Exam: If i understand your question, you had 10/10 pain during the ultrasound. Other than pressure from the transducer on your skin, it shouldn't cause pain. Typically, spigelian hernias are seen on ct scan and are located below the belly button (on either the l or r). I'm happy you're seeing a surgeon so that you can have a thorough evaluation to get to the bottom of this. ...Read moreSee 1 more doctor answer
Doctor evaluation: The best "tests" are an evaluation and answering questions of possible symptoms by your doctor, such as food reflux into the throat, heartburn, feeling of food sticking when swallowed. Simple chest x-ray can be done, sometimes a ct scan, and likely best is a referral to a gastroenterologist for possible endoscopy procedure. ...Read moreSee 2 more doctor answers
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