SPIGELIAN HERNIA REPAIR: EVALUATION OF PERSONAL EXPERIENCE

Aim: This retrospective study was undertaken to evaluate a Personal Experience of repair of Spigelian hernia. Methods: Medical records of six patients operated for a spigelian hernia over 4 years were studied and analyzed retrospectively. Results: two males (33.3%) and four females (66.7%), whose ages ranged from 42-67 years received surgical treatment for six spigelian hernias. Pain was the main presenting complaint in all patients. Intermittent palpable mass in five patients and two patients presented with painfid mass associated with signs suggesting bowel obstruction. Three patients had previous surgery. Accurate preoperative diagnosis was possible in five patients confirmed with imaging. Open direct repair was undergone for two patients and preperitoneal mesh repair was applied for four patients. Follow up our patients for an average of 12 months revealed one patient developed seroma but with no recurrence or fistula formation. The average length of hospital stay was 4.1 days. They returned to normal daily activity on the 15 th postoperative day. Conclusion: Although spigelian hernia is a rare condition, diagnosis is not difficult once remembered. The condition requires a surgical repair because of its high risk of complications. Surgical repair seems to cause few complications but it is simple, effective in the long term and well tolerated