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Surgical Technique
June 1998

Spigelian HerniasA New Repair Technique Using Preshaped Polypropylene Umbrella Plugs

Author Affiliations

From the Department of Surgery, Hospital General de Zona #1A, Instituto Mexicano de la Salud, Mexico (Dr Sanchez-Montes), and Mercy Medical Center, Rockville Center, NY (Dr Deysine).

Arch Surg. 1998;133(6):670-672. doi:10.1001/archsurg.133.6.670

The spigelian hernia is a rare kind of abdominal wall defect that has been treated using a variety of techniques. Recently, we encountered 6 patients with spigelian hernias in whom we have used a new modality consisting of the tension-free occlusion of the hernia ring with a preshaped polypropylene umbrella-type plug. The follow-up was more than 1 year without evidence of recurrence. This technique simplifies the repair and has the advantage of producing minimal postoperative pain and disability.