Spigelian hernia, a case series of four cases and literature review

Abstract

Four female patients aged 50-85 underwent surgery for Spiegel hernia. One patient was managed with antibiotics for 2 weeks before presenting to the emergency department with non-specific symptoms and signs of sepsis. Emergency laparoscopic surgery was converted to laparotomy due to the discovery of pus and appendicitis. The abdominal defect was closed using a tension technique to mitigate the risk of mesh infection. This patient recovered well and was discharged after 36 h with a double antibiotic regimen. Three elective surgeries utilized an open approach with different mesh placement techniques and resulted in discharges within 24 h. These cases demonstrate diverse surgical approaches and outcomes in older female patients.

Keywords

• Spiegel; Hernia; Appendicitis; Rives