Treatment[ edit ] These hernias should be repaired because of the high risk of strangulation;  surgery is straightforward, with only larger defects requiring a mesh prosthesis. Treatment of Spigelian hernia is operative repair once the diagnosis has been confirmed given the risk of incarcerated hernia. There are a few ways a Spigelian hernia can be fixed such as; laparoscopy technique where an incision is made away from the hernia using endoscopic instruments to repair the hernia while watching it on a monitor screen. Today, a Spigelian hernia can be repaired by doing robotic laparoscopy and most patients can go home the same day.
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