{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:39:43Z","timestamp":1782848383671,"version":"3.54.5"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001792","name":"James Cook University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001792","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Spigelian hernias arise at the linear semilunaris and account for approximately 1\u20132% of abdominal hernias. The aetiology is due to a defect of the aponeurosis of the transverse abdominis and when discovered, management is surgical intervention. The aim of this study was to observe operative outcomes for open and minimally invasive repair.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A retrospective chart review was conducted at two hospitals in Townsville, The Townsville University Hospital and The Mater Private Hospital over a 10-year period (2010 to 2020). A surgical database search (ORMIS &amp; IEMR) was performed at both locations using key search terms, including \u201cspigelian hernia\u201d, \u201claparoscopic\u201d, \u201copen\u201d. Descriptive statistics were utilised to analyse patient factors and operative outcomes in the public and private setting.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>43 cases of Spigelian hernias (25 female, 18 male) were reported over the study period. The average age was 66. There were 36 elective cases and 7 emergency cases. A laparoscopic approach was the preferred method of repair, occurring in 74% of cases. Of these cases, the predominant hernial content was fat only. 65% of cases had a history of prior abdominal surgery unrelated to the \u201cSpigelian belt\u201d location. Complications occurred in 19% of cases. Other variables, such as ethnicity, smoking status, defect size, predisposing factors and recurrence rate, were analysed and did not yield statistical significance.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Although a small sample size, the data suggest there is no statistically significant difference between operative outcomes, complication rate and predisposing factors between open and minimally invasive case groups.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10029-023-02946-1","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T12:01:36Z","timestamp":1706011296000},"page":"537-546","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Spigelian hernia: a multi-site review of operative outcomes of surgical repair in the adult population"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6501-1424","authenticated-orcid":false,"given":"C. R.","family":"Clark","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7024-8090","authenticated-orcid":false,"given":"M. L.","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Palamuthusingam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"issue":"5","key":"2946_CR1","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/BF01658873","volume":"13","author":"L Spangen","year":"1989","unstructured":"Spangen L (1989) Spigelian hernia. World J Surg 13(5):573\u2013580. https:\/\/doi.org\/10.1007\/BF01658873","journal-title":"World J Surg"},{"issue":"1","key":"2946_CR2","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1177\/000313480607200110","volume":"72","author":"PN Skandalakis","year":"2006","unstructured":"Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P (2006) Spigelian hernia: surgical anatomy, embryology and technique of repair. Am Surg 72(1):42\u201348","journal-title":"Am Surg"},{"issue":"6","key":"2946_CR3","doi-asserted-by":"publisher","first-page":"1004","DOI":"10.1097\/00000658-196012000-00012","volume":"152","author":"RC Read","year":"1960","unstructured":"Read RC (1960) Observations on the etiology of spigelian hernia. Ann Surg 152(6):1004\u20131009. https:\/\/doi.org\/10.1097\/00000658-196012000-00012","journal-title":"Ann Surg"},{"issue":"1","key":"2946_CR4","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s10029-004-0280-z","volume":"9","author":"G Campanelli","year":"2005","unstructured":"Campanelli G, Pettinari D, Nicolosi FM, Avesani EC (2005) Spigelian hernia. Hernia 9(1):3\u20135. https:\/\/doi.org\/10.1007\/s10029-004-0280-z","journal-title":"Hernia"},{"issue":"4","key":"2946_CR5","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1007\/s10029-006-0103-5","volume":"10","author":"Z Malazgirt","year":"2006","unstructured":"Malazgirt Z, Topgul K, Sokmen S et al (2006) Spigelian hernias: a prospective analysis of baseline parameters and surgical outcome of 34 consecutive patients. Hernia 10(4):326\u2013330. https:\/\/doi.org\/10.1007\/s10029-006-0103-5","journal-title":"Hernia"},{"issue":"2","key":"2946_CR6","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1016\/j.jpedsurg.2014.10.059","volume":"50","author":"BC Jones","year":"2015","unstructured":"Jones BC, Hutson JM (2015) The Syndrome of Spigelian hernia and cryptorchidism: a review of paediatric literature. J Pediatr Surg 50(2):325\u2013330. https:\/\/doi.org\/10.1016\/j.jpedsurg.2014.10.059","journal-title":"J Pediatr Surg"},{"issue":"1","key":"2946_CR7","doi-asserted-by":"publisher","first-page":"2040","DOI":"10.22037\/uj.v12i1.2638","volume":"12","author":"U Ates","year":"2015","unstructured":"Ates U, Kucuk G, Gollu G, Yagmurlu A (2015) Syndrome of Spigelian hernia and cryptorchidism: new evidence pertinent to pathogenic hypothesis. Urol J 12(1):2040\u20132041. https:\/\/doi.org\/10.22037\/uj.v12i1.2638","journal-title":"Urol J"},{"issue":"4","key":"2946_CR8","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1007\/s10029-002-0080-2","volume":"6","author":"JE Losanoff","year":"2002","unstructured":"Losanoff JE, Richman BW, Jones JW (2002) Spigelian hernia in a child: case report and review of the literature. Hernia 6(4):191\u2013193. https:\/\/doi.org\/10.1007\/s10029-002-0080-2","journal-title":"Hernia"},{"issue":"1","key":"2946_CR9","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1007\/s10029-017-1579-x","volume":"21","author":"V Webber","year":"2017","unstructured":"Webber V, Low c, Skipworth RJ, et al (2017) Contemporary thoughts on the management of Spigelian hernia. Hernia 21(1):355\u2013361. https:\/\/doi.org\/10.1007\/s10029-017-1579-x","journal-title":"Hernia"},{"issue":"1","key":"2946_CR10","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1007\/s00464-014-3738-9","volume":"29","author":"A Moreno-Egea","year":"2015","unstructured":"Moreno-Egea A, Campillo-Soto A, Morales-Cuenca G (2015) Which should be the gold standard laparoscopic technique for handling Spigelian Hernias? Surgical Endoscop 29(1):856\u2013862. https:\/\/doi.org\/10.1007\/s00464-014-3738-9","journal-title":"Surgical Endoscop"},{"issue":"10","key":"2946_CR11","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1007\/s00268-002-6605-0","volume":"26","author":"DW Larson","year":"2002","unstructured":"Larson DW, Farley DR (2002) Spigelian hernias: repair and outcome for 81 patients. World J Surg 26(10):1277\u20131281. https:\/\/doi.org\/10.1007\/s00268-002-6605-0","journal-title":"World J Surg"},{"issue":"11","key":"2946_CR12","doi-asserted-by":"publisher","first-page":"1266","DOI":"10.1001\/archsurg.137.11.1266","volume":"137","author":"A Moreno-Egea","year":"2002","unstructured":"Moreno-Egea A, Carrasco L, Girela E, Mart\u00edn JG, Aguayo JL, Canteras M (2002) Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial. Arch Surg 137(11):1266\u20131268. https:\/\/doi.org\/10.1001\/archsurg.137.11.1266","journal-title":"Arch Surg"},{"issue":"4","key":"2946_CR13","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1007\/s10029-009-0518-x","volume":"13","author":"FE Muysoms","year":"2009","unstructured":"Muysoms FE, Miserez M, Berrevoet F et al (2009) Classification of primary and incisional abdominal wall hernias. 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No funding nor financial support was obtained for the conduction of this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was conducted under the Public Health Act, pertaining to informed consent. This study complies with the Ethical Standards of Human Research in Australia.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent and Research involving human and animal participants"}},{"value":"This study complies with the Ethical Standards of Human Research in Australia. Further, All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its subsequent amendments or comparable ethical standards.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Standards"}}]}}