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Treatment[ edit ] The Spigelian hernia can be repaired by either an open procedure or laproscopic surgery because of the high risk of strangulation; [8] surgery is straightforward, with only larger defects requiring a mesh prosthesis. In contrast to the laparoscopic intraperitoneal onlay mesh plan of action there is a significant higher risk associated with complications and recurrence rates during the period following a surgical operation. This novel uncomplicated approach to small Spigelian hernias combines the benefits of laparoscopic localization, reduction, and closure without the morbidity and cost associated with foreign material. In he became a professor of surgery. Spiegel was the first to described this rare hernia in
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