Abstract
Primary anterior abdominal wall defects such as Spigelian, epigastric, and umbilical hernias are less common than their inguinal counterparts. However, a thorough knowledge of the causes and treatment of these hernias is paramount for any practicing general surgeon. These primary abdominal wall hernias oftentimes need to have a high index of suspicion especially epigastric and Spigelian hernias. Umbilical hernias typically account for approximately 10 % of all hernias and are more likely to be frequently seen by the general surgeon. This chapter will discuss the presentation of these hernias as well as causes and the different treatments that are currently available.
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References
Sutphen JH, Hitchcock DA, King DC. Ultrasonic demonstration of Spigelian hernia. AJR Am J Roentgenol. 1980;134(1):174–5.
Read RC. Observations on the etiology of Spigelian hernia. Ann Surg. 1960;152:1004–9.
River LP. Spigelian hernia: spontaneous lateral ventral hernia through the semilunar line. Ann Surg. 1942;116(3):405–11.
Weiss Y, Lernau OZ, Nissan S. Spigelian hernia. Ann Surg. 1974;180(6):836–9.
Hsieh HF, Chuang CH, Lin Ch YJC, Hsieh CB. Spigelian hernia: mesh or not? Rev Esp Enferm Dig. 2007;99(9):502–4.
Malazgirt Z, Topgul K, Sokmen S, Ersin S, Turkcapar AG, Gok H, et al. Spigelian hernias: a prospective analysis of baseline parameters and surgical outcome of 34 consecutive patients. Hernia. 2006;10(4):326–30.
Larson DW, Farley DR. Spigelian hernias: repair and outcome in 81 patients. World J Surg. 2002;26:1277–81.
Koksal N, Altinli E, Celik A, Oner I. Extraperitoneal laparoscopic approach to Spigelian hernia combined with groin hernias. Surg Laparosc Endosc Percutan Tech. 2004;14(4):204–6.
Moreno-Egea A, Carrasco L, Girela E, Martín JG, Aguayo JL, Canteras M. Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial. Arch Surg. 2002;137(11):1266–8.
Hotchkiss LW. VI. Epigastric hernia. Ann Surg. 1911;54(1):78–82.
Bendavid R, Abrahamson J, Arregui ME, Flament JB, Phillips EH. Abdominal wall hernias: principles and management. New York: Springer; 2001.
Stabilini C, Stella M, Frascio M, De Salvo L, Fornaro R, Larghero G, et al. Mesh versus direct suture for the repair of umbilical and epigastric hernias. Ten-year experience. Ann Ital Chir. 2009;80(3):183–7.
McCaugham JJ. Epigastric hernias: results obtained by surgery. AMA Arch Surg. 1956;73:972.
Muschaweck U. Umbilical and epigastric hernia repair. Surg Clin North Am. 2003;83(5):1207–21.
Wright BE, Beckerman J, Cohen M, Cumming JK, Rodriguez JL. Is laparoscopic umbilical hernia repair with mesh a reasonable alternative to conventional repair? Am J Surg. 2002;184(6):505–8. discussion 508–9.
Mayo WJ. VI. An operation for the radical cure of umbilical hernia. Ann Surg. 1901;34(2):276–80.
Runyon BA, Juler GL. Natural history of repaired umbilical hernias in patients with and without ascites. Am J Gastroenterol. 1985;80(1):38–9.
Telem DA, Schiano T, Divino CM. Complicated hernia presentation in patients with advanced cirrhosis and refractory ascites: management and outcome. Surgery. 2010;148(3):538–43.
Reissfelder C, Radeleff B, Mehrabi A, Rahbari NN, Weitz J, Büchler MW, et al. Emergency liver transplantation after umbilical hernia repair: a case report. Transplant Proc. 2009;41(10):4428–30.
Choo EK, McElroy S. Spontaneous bowel evisceration in a patient with alcoholic cirrhosis and an umbilical hernia. J Emerg Med. 2008;34(1):41–3.
Ginsburg BY, Sharma AN. Spontaneous rupture of an umbilical hernia with evisceration. J Emerg Med. 2006;30(2):155–7.
Carbonell AM, Wolfe LG, DeMaria EJ. Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients. Hernia. 2005;9(4):353–7.
Lemmer JH, Strodel WE, Knol JA, Eckhauser FE. Management of spontaneous umbilical hernia disruption in the cirrhotic patient. Ann Surg. 1983;198(1):30–4.
Klosterhalfen B, Klinge U, Schumpelick V. Functional and morphological evaluation of different polypropylene-mesh modifications for abdominal wall repair. Biomaterials. 1998;19(24):2235–46.
Cobb WS, Burns JM, Peindl RD, Carbonell AM, Matthews BD, Kercher KW, et al. Textile analysis of heavy weight, mid-weight, and light weight polypropylene mesh in a porcine ventral hernia model. J Surg Res. 2006;136(1):1–7.
Gray SH, Vick CC, Graham LA, Finan KR, Neumayer LA, Hawn MT. Umbilical herniorrhaphy in cirrhosis: improved outcomes with elective repair. J Gastrointest Surg. 2008;12(4):675–81.
Marsman HA, Heisterkamp J, Halm JA, Tilanus HW, Metselaar HJ, Kazemier G. Management in patients with liver cirrhosis and an umbilical hernia. Surgery. 2007;142(3):372–5.
Belli G, D’Agostino A, Fantini C, Cioffi L, Belli A, Russolillo N, et al. Laparoscopic incisional and umbilical hernia repair in cirrhotic patients. Surg Laparosc Endosc Percutan Tech. 2006;16(5):330–3.
Farrow B, Awad S, Berger DH, Albo D, Lee L, Subramanian A, et al. More than 150 consecutive open umbilical hernia repairs in a major Veterans Administration Medical Center. Am J Surg. 2008;196(5):647–51.
Eryilmaz R, Sahin M, Tekelioglu MH. Which repair in umbilical hernia of adults: primary or mesh? Int Surg. 2006;91(5):258–61.
Arroyo A, García P, Pérez F, Andreu J, Candela F, Calpena R. Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg. 2001;88(10):1321–3.
Sanjay P, Reid TD, Davies EL, Arumugm PJ, Woodward A. Retrospective comparison of mesh and sutured repair for adult umbilical hernias. Hernia. 2005;9:248–51.
Schumacher OP, Peiper C, Lorken M, Schumpelick V. Long-term results after Spitzy’s umbilical hernia repair. Chirurg. 2003;74:50–4.
Martin DF, Williams RF, Mulrooney T, Voeller GR. Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia. 2008;12(4):379–83.
Yeh H, Lehr-Janus C, Cohen C, et al. Ultrasonography and CT of abdominal and inguinal hernias. J Clin Ultrasound. 1984;12:479–86.
Hodgson TJ, Collins MC. Anterior abdominal wall hernias: diagnosis by ultrasound and tangential radiographs. Clin Radiol. 1991;44:185–8.
Arowolo OA, Ogundiran TO, Adebamowo CA. Spontaneous epigastric hernia causing gastric outlet obstruction: a case report. Afr J Med Med Sci. 2006;35(3):385–6.
Gupta AS, Bothra VC, Gupta RK. Strangulation of the liver in epigastric hernia. Am J Surg. 1968;115(6):843–4.
Lankisch PG, Petersen F, Brinkmann G. An enormous ventral (epigastric) hernia as a cause of acute pancreatitis: Pfeffer’s closed duodenal loop model in the animal, first seen in a human. Gastroenterology. 2003;124(3):865–6.
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Powell, B.S., Voeller, G.R. (2013). Umbilical, Epigastric, and Spigelian Hernias. In: Kingsnorth, A., LeBlanc, K. (eds) Management of Abdominal Hernias. Springer, London. https://doi.org/10.1007/978-1-84882-877-3_18
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DOI: https://doi.org/10.1007/978-1-84882-877-3_18
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