48:
40:
32:
183:. Whereas, open surgery is straightforward, with only larger defects requiring a mesh prosthesis. 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
147:
can establish the diagnosis, although CT scan provides the greatest sensitivity and specificity. Diagnosing
Spigelian hernias is traditionally difficult if only given the history and physical examination. Diagnosis of Spigelian hernias is complicated both by its rarity, because it accounts for only
94:; they do not typically develop under layers of fat but rather between fascia tissue that connects to muscle. Compared to other types of hernias they are rare. The Spigelian hernia is generally smaller in diameter, typically measuring 1–2 cm. Therefore the risk of strangulation is high.
257:
first described this hernia in 1627. The first publication was in 1645, twenty years after
Spiegel's death. Almost a century later, a Flemish anatomist, Josef Klinkosch was credited for recognizing the the Spigelian hernia in the variant of deep
148:
0.12% of all hernias of the abdominal wall, and by the fact that is has no characteristic signs or symptoms. Considering a significant proportion of patients in non-emergent environments, most are good candidates for elective
Spigelian
191:
Onlay Mesh
Procedure (IPOM) has been shown to be a safe, fast, and efficient alternative. Compared to laparoscopic IPOM, the open IPOM technique was associated with significantly higher postoperative complication rates and recurrence rates.
1214:
1199:
82:
creating a bulge through a hole in the abdominal muscles, causing a defect. As a result it creates the movement of an organ or a loop of intestine into the weakened body space that it is not supposed to be in. It is at this separation
121:. The lump is painful if the patient stretches and disappears on lying down. However, a number of patients present with no obvious hernia but a vague lump or tenderness along the region of the Spigelian fascia.
2082:
1144:
Kariappa, Mohan Kumar; Harihar, Vivek; Kedarlingayya
Hiremath, Vivekanand (2016-04-16). "Pantaloon Hernia: Obstructed Indirect Component and Direct Component with Cryptorchidism".
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This novel uncomplicated approach to small
Spigelian hernias combines the benefits of laparoscopic localization, reduction, and closure without the
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117:. The patient may have a classic lump when standing upright and sometimes discomfort can be confused by its anatomical region for a
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and most patients can go home the same day. While the open approach is the more classic way of treatment, laparoscopic
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78:. It is the protrusion of bowel or tissue to a weak area in the abdominal wall muscles, that ultimately pushes on
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People typically present with either an intermittent pain (coming and going), a mass, localized pain, or signs of
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Mederos, Raul; Lamas, Jose R.; Alvarado, Javier; Matos, Moises; Padron, Ivett; Ramos, Anika (2017-01-20).
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and cost associated with foreign material. Mesh-free laparoscopic suture repair is feasible and safe.
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https://medtube.net/general-surgery/medical-videos/20274-laparoscopic-repair-of-spigelian-hernia
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hernia is operative repair once the diagnosis has been confirmed given the risk of incarcerated
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498:"Laparoscopic diagnosis and repair of Spigelian hernia: A case report and literature review"
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Ghosh, Sanjib Kumar; Sharma, Suranjali; Biswas, Sudipa; Chakraborty, Soumya (2014-10-20).
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555:"Diagnosis and management of Spigelian Hernia: A review of literature and our experience"
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surgery, particularly after receiving an initial diagnostic and medical consultation.
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775:"Laparoscopic Repair of Right Spigelian Hernia and Umbilical Hernia. - PubMed - NCBI"
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952:"Open Intraperitoneal Onlay Mesh (IPOM) Technique for Incisional Hernia Repair"
790:
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668:"Radiological and clinical examination in the diagnosis of Spigelian hernias"
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Zucker, Benjamin; Malietzis, George; Kontovounisios, Christos (2017-10-01).
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1091:"Congenital Spigelian hernia with cryptorchidism: probably a new syndrome"
553:
Mittal, T; Kumar, V; Sharma, R; Soni, V; Baijal, M; Chowbey, P.K. (2008).
1866:
1844:
1556:
1003:"Adriaan van den Spiegel (1578-1625): anatomist, physician, and botanist"
359:"Spigelian hernia: surgical anatomy, embryology, and technique of repair"
230:
70:, and appears in the lower quadrant of the abdomen between the abdominal
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in the ventral abdominal region, that herniation most commonly occurs.
237:
during the 17th century and became professor of surgery there in 1619.
43:
Photograph by AfroBrazilian, distributed under a CC BY-SA 3.0 license.
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279: In 1764, Klinkosh described a hernia located in the spigelian
1834:
1564:
46:
38:
30:
1242:
357:
Skandalakis, PN; Zoras, O; Skandalakis, JE; Mirilas, P (2006).
850:"Incidence and Outcome of Surgical Repair of Spigelian Hernia"
411:
Huttinger, Ryan; Sugumar, Kavin; Baltazar, Ford (2019-06-10).
2557:
Laparoscopic Repair of
Spigelian Hernia • Video • MEDtube.net
732:
Surgical
Laparoscopy, Endoscopy & Percutaneous Techniques
171:
These hernias should be repaired because of the high risk of
728:"Mesh-free Laparoscopic Repair of Small Spigelian Hernias"
1191:
443:"Spigelian Hernias: Repair and Outcome for 81 Patients"
310:
described a new syndrome in which
Spigelian hernia and
1181:
1058:"Reports on Experiments Kilchiro and Clinical Cases"
915:
Mhatre, Hemant; Kanake, Vijay; Nandu, Vipul (2015).
90:
Spigelian hernias are different from other types of
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1978:
1932:
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1286:
1277:
1185:
672:Annals of the Royal College of Surgeons of England
233:, was one of the most prominent anatomists at the
950:Kockerling, Ferdinand; Lammers, Bernhard (2018).
441:Larson, David W.; Farley, David R. (2002-10-01).
417:The National Center for Biotechnology Information
63:is a type of hernia that protrudes through the
1254:
502:International Journal of Surgery Case Reports
8:
1360:Esophagogastric junction outflow obstruction
917:"Spigelian hernia: a rare case presentation"
666:Light, D; Chattopadhyay, D; Bawa, S (2013).
271:tag is malformed or has a bad name (see the
246:tag is malformed or has a bad name (see the
318:) occur together. Common complications of
2380:
2031:
1547:
1399:Esophageal intramural pseudodiverticulosis
1283:
1261:
1247:
1239:
1182:
330:, inguinal hernia, and testicular cancer.
977:
967:
699:
578:
529:
2580:was invoked but never defined (see the
2566:
349:
1161:
1151:
1067:
893:
826:
621:"An Unexpected Cause of Acute Abdomen"
594:
283:and coined the term spigelian hernia.
1627:Small intestinal bacterial overgrowth
369:(1). Am Surg. 2006-01 PubMed: 42–48.
7:
721:
719:
614:
612:
436:
434:
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263:
238:
601:: CS1 maint: unflagged free DOI (
24:
2512:Spontaneous bacterial peritonitis
2359:Exocrine pancreatic insufficiency
1007:Clinical Anatomy (New York, N.Y.)
559:Journal of Minimal Access Surgery
2257:Secondary sclerosing cholangitis
848:Vos, DI; Scheltinga, MR (2004).
726:Bittner, James G. (2010-10-02).
684:10.1308/003588413X13511609957092
35:Radiology Spigelian Hernia Image
1498:Gastric antral vascular ectasia
1493:Portal hypertensive gastropathy
1370:Gastroesophageal reflux disease
1146:US National Library of Medicine
1089:Raveenthiran, V. (2005-12-01).
2252:Primary sclerosing cholangitis
2102:Hepatic veno-occlusive disease
1924:Solitary rectal ulcer syndrome
929:10.18203/2349-2902.isj20151112
1:
2309:Sphincter of Oddi dysfunction
921:International Surgery Journal
2218:Postcholecystectomy syndrome
1737:Intestinal pseudoobstruction
1345:Esophageal motility disorder
1062:Spigelian Hernia: Case Study
744:10.1097/sle.0b013e3181cb842c
637:10.1053/j.gastro.2017.01.057
1056:Uchiyama, Kiichiro (1998).
514:10.1016/j.ijscr.2017.01.043
51:Laparoscopic Hernia Surgery
2603:
2203:Gallstone / Cholelithiasis
1727:Functional colonic disease
1523:Zollinger–Ellison syndrome
1074:: CS1 maint: url-status (
900:: CS1 maint: url-status (
854:British Journal of Surgery
833:: CS1 maint: url-status (
791:10.1177/000313481908500514
375:10.1177/000313480607200110
1404:Acute esophageal necrosis
1107:10.1007/s10029-005-0316-z
773:Tom, SK; Tom, TN (2019).
459:10.1007/s00268-002-6605-0
1503:Gastric dumping syndrome
1378:Laryngopharyngeal reflux
1365:Diffuse esophageal spasm
969:10.3389/fsurg.2018.00066
447:World Journal of Surgery
74:region of the Spigelian
2119:Alcoholic liver disease
1652:Bile acid malabsorption
1596:Peptic (duodenal) ulcer
571:10.4103/0972-9941.45204
219:Adriaan van den Spiegel
2555:Ismayilov, I. (2017).
2129:Hepatic encephalopathy
1513:Buried bumper syndrome
1444:Peptic (gastric) ulcer
1328:Mallory–Weiss syndrome
1271:human digestive system
52:
44:
36:
2354:Pancreatic pseudocyst
2223:Porcelain gallbladder
1335:Zenker's diverticulum
287:Raveenthiran syndrome
50:
42:
34:
2576:The named reference
2158:Hepatorenal syndrome
2097:Budd–Chiari syndrome
2054:Autoimmune hepatitis
1879:Intestinal adhesions
1637:Short bowel syndrome
1466:Functional dyspepsia
1384:Esophageal stricture
1350:Nutcracker esophagus
956:Frontiers in Surgery
779:The American Surgeon
363:The American Surgeon
302:Dr. Raveenthiran of
2297:Choledocholithiasis
2168:Metabolic disorders
2134:Acute liver failure
2107:Portal hypertension
2059:Alcoholic hepatitis
1902:Radiation proctitis
1821:Mesenteric ischemia
1793:Gastroenterocolitis
1622:Blind loop syndrome
1432:Ménétrier's disease
1340:Barrett's esophagus
1148:. Vol. 2011 (2011).
235:University of Padua
185:robotic laparoscopy
59:or lateral ventral
2472:Undefined location
2463:Grynfeltt–Lesshaft
2364:Pancreatic fistula
2347:Pancreatic abscess
2302:Biliary dyskinesia
2273:Mirizzi's syndrome
1774:Large and/or small
1454:Dieulafoy's lesion
1323:Boerhaave syndrome
413:"Spigelian Hernia"
324:testicular torsion
316:undescended testis
98:Signs and symptoms
53:
45:
37:
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2371:
1974:
1973:
1831:Bowel obstruction
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1232:
453:(10): 1277–1281.
175:. Treatment of
119:peptic ulceration
115:bowel obstruction
18:User:Kerrymonique
2594:
2587:
2586:
2585:
2579:
2571:
2552:
2551:
2547:
2524:Pneumoperitoneum
2381:
2291:Common bile duct
2173:Wilson's disease
2163:Peliosis hepatis
2032:
1909:Proctalgia fugax
1816:Abdominal angina
1741:Ogilvie syndrome
1690:Pseudomembranous
1548:
1508:Gastric volvulus
1473:Pyloric stenosis
1284:
1269:Diseases of the
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1164:has extra text (
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785:(5): e268–e270.
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625:Gastroenterology
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2559:. MEDtube.Net.
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2482:Internal hernia
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2313:
2278:Biliary fistula
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2227:
2213:Adenomyomatosis
2208:Cholesterolosis
2184:
2178:Hemochromatosis
2049:Viral hepatitis
2021:
1970:
1928:
1914:Rectal prolapse
1883:
1850:Fecal impaction
1840:Intussusception
1803:Crohn's disease
1769:
1752:Toxic megacolon
1664:
1662:Large intestine
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1601:Curling's ulcer
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1552:Small intestine
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1757:Diverticulitis
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1373:
1367:
1362:
1357:
1352:
1342:
1337:
1332:
1331:
1330:
1325:
1315:
1314:
1313:
1308:
1303:
1292:
1290:
1281:
1279:Upper GI tract
1275:
1274:
1268:
1266:
1265:
1258:
1251:
1243:
1231:
1230:
1227:
1226:
1211:
1195:
1190:
1189:
1187:
1186:Classification
1179:
1178:External links
1176:
1172:
1171:
1136:
1101:(4): 378–380.
1081:
1048:
1013:(7): 952–957.
993:
942:
907:
860:(5): 640–644.
840:
765:
715:
658:
608:
545:
488:
430:
403:
348:
335:
332:
320:cryptorchidism
312:cryptorchidism
308:Kattankulathur
288:
285:
204:
201:
157:
154:
126:
123:
99:
96:
28:
25:
23:
15:
14:
13:
10:
9:
6:
4:
3:
2:
2599:
2583:
2570:
2567:
2564:
2562:
2558:
2548:
2539:
2525:
2522:
2520:
2517:
2513:
2510:
2509:
2508:
2505:
2504:
2502:
2500:
2496:
2488:
2485:
2483:
2480:
2478:
2475:
2474:
2473:
2470:
2469:
2464:
2461:
2459:
2456:
2455:
2454:
2453:
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2448:
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2440:
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2435:
2432:
2430:
2427:
2423:
2420:
2418:
2415:
2414:
2413:
2410:
2409:
2406:
2403:
2399:
2396:
2395:
2394:
2393:Diaphragmatic
2391:
2390:
2388:
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2382:
2379:
2375:
2365:
2362:
2360:
2357:
2355:
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2330:
2329:
2328:
2325:
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2320:
2316:
2310:
2307:
2303:
2300:
2298:
2295:
2294:
2293:
2292:
2288:
2287:
2284:
2281:
2279:
2276:
2274:
2270:
2267:
2263:
2260:
2258:
2255:
2253:
2250:
2249:
2248:
2245:
2244:
2242:
2240:
2234:
2230:
2224:
2221:
2219:
2216:
2214:
2211:
2209:
2206:
2204:
2201:
2199:
2198:Cholecystitis
2196:
2195:
2193:
2191:
2187:
2179:
2176:
2174:
2171:
2170:
2169:
2166:
2164:
2161:
2159:
2156:
2152:
2149:
2147:
2144:
2143:
2142:
2141:Liver abscess
2139:
2135:
2132:
2130:
2127:
2126:
2125:
2124:Liver failure
2122:
2120:
2117:
2113:
2110:
2108:
2105:
2103:
2100:
2098:
2095:
2094:
2093:
2092:
2088:
2084:
2081:
2080:
2079:
2076:
2072:
2069:
2068:
2067:
2064:
2060:
2057:
2055:
2052:
2050:
2047:
2046:
2045:
2042:
2041:
2039:
2037:
2033:
2030:
2028:
2024:
2016:
2013:
2012:
2011:
2008:
2004:
2001:
1999:
1996:
1995:
1994:
1991:
1989:
1986:
1985:
1983:
1981:
1977:
1967:
1964:
1962:
1959:
1957:
1954:
1952:
1949:
1947:
1943:
1940:
1939:
1937:
1935:
1931:
1925:
1922:
1920:
1917:
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1912:
1910:
1907:
1903:
1900:
1899:
1898:
1895:
1894:
1892:
1890:
1886:
1880:
1877:
1873:
1870:
1869:
1868:
1865:
1861:
1858:
1857:
1856:
1853:
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1841:
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1836:
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1827:
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1808:
1804:
1801:
1800:
1799:
1796:
1794:
1791:
1787:
1784:
1783:
1782:
1781:Enterocolitis
1779:
1778:
1776:
1772:
1766:
1762:
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1742:
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1638:
1635:
1633:
1630:
1628:
1625:
1623:
1620:
1618:
1615:
1613:
1609:
1608:Malabsorption
1606:
1602:
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1587:
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1580:
1577:
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1501:
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1489:
1486:
1484:
1483:Gastroparesis
1481:
1479:
1476:
1474:
1471:
1467:
1464:
1463:
1462:
1459:
1455:
1452:
1450:
1449:Cushing ulcer
1447:
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1430:
1428:
1425:
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1423:
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1400:
1397:
1395:
1394:Megaesophagus
1392:
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1371:
1368:
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1302:
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1280:
1276:
1272:
1264:
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1245:
1244:
1241:
1237:
1225:
1221:
1220:
1216:
1212:
1210:
1206:
1205:
1201:
1197:
1196:
1193:
1188:
1184:
1177:
1175:
1167:
1162:|volume=
1155:
1147:
1140:
1137:
1132:
1128:
1124:
1120:
1116:
1112:
1108:
1104:
1100:
1096:
1092:
1085:
1082:
1077:
1071:
1063:
1059:
1052:
1049:
1044:
1040:
1036:
1032:
1028:
1024:
1020:
1016:
1012:
1008:
1004:
997:
994:
989:
985:
980:
975:
970:
965:
961:
957:
953:
946:
943:
938:
934:
930:
926:
922:
918:
911:
908:
903:
897:
883:
879:
875:
871:
867:
863:
859:
855:
851:
844:
841:
836:
830:
816:
812:
808:
804:
800:
796:
792:
788:
784:
780:
776:
769:
766:
761:
757:
753:
749:
745:
741:
737:
733:
729:
722:
720:
716:
711:
707:
702:
697:
693:
689:
685:
681:
678:(2): 98–100.
677:
673:
669:
662:
659:
654:
650:
646:
642:
638:
634:
630:
626:
622:
615:
613:
609:
604:
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586:
581:
576:
572:
568:
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560:
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549:
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541:
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523:
519:
515:
511:
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452:
448:
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431:
418:
414:
407:
404:
392:
388:
384:
380:
376:
372:
368:
364:
360:
353:
350:
342:
333:
331:
329:
325:
321:
317:
313:
309:
305:
295:
286:
284:
282:
274:
261:
256:
249:
236:
232:
228:
224:
220:
211:
202:
200:
198:
193:
190:
186:
182:
178:
174:
173:strangulation
164:
155:
153:
151:
146:
142:
133:
124:
122:
120:
116:
106:
97:
95:
93:
88:
86:
81:
77:
73:
69:
66:
62:
58:
49:
41:
33:
26:
19:
2574:Cite error:
2569:
2556:
2554:
2471:
2450:
2327:Pancreatitis
2289:
2239:biliary tree
2112:Nutmeg liver
2089:
2015:Hematochezia
1966:Pruritus ani
1951:Anal abscess
1946:Anal fistula
1942:Anal fissure
1855:Constipation
1809:
1680:Appendicitis
1488:Gastroptosis
1478:Achlorhydria
1317:
1306:Eosinophilic
1235:
1213:
1198:
1174:
1154:cite journal
1145:
1139:
1098:
1094:
1084:
1061:
1051:
1010:
1006:
996:
959:
955:
945:
920:
910:
896:cite journal
885:. Retrieved
857:
853:
843:
829:cite journal
818:. Retrieved
782:
778:
768:
738:(1): 63–64.
735:
731:
675:
671:
661:
631:(4): e4–e5.
628:
624:
597:cite journal
565:(4): 95–98.
562:
558:
548:
505:
501:
491:
450:
446:
421:. Retrieved
416:
406:
394:. Retrieved
366:
362:
352:
328:subfertility
301:
267:The opening
265:Cite error:
242:The opening
240:Cite error:
217:
194:
170:
139:
112:
89:
80:fatty tissue
54:
2540:Video link
2507:Peritonitis
2269:Cholestasis
2247:Cholangitis
2190:Gallbladder
2078:Fatty liver
1998:Hematemesis
1980:GI bleeding
1786:Necrotizing
1715:Lymphocytic
1710:Collagenous
1705:Microscopic
1642:Steatorrhea
1543:Enteropathy
1389:Inlet patch
1311:Herpetiform
1296:Esophagitis
923:: 717–720.
508:: 184–187.
423:16 February
396:16 February
269:<ref>
244:<ref>
85:aponeurosis
76:aponeurosis
72:musculature
2499:Peritoneal
2477:Incisional
2398:Congenital
2342:Hereditary
2319:Pancreatic
2283:Haemobilia
1956:Hemorrhoid
1934:Anal canal
1872:Infectious
1860:Functional
1695:Ulcerative
1579:Duodenitis
1518:Gastrinoma
887:2020-02-12
820:2020-02-12
334:References
306:Hospital,
2582:help page
2487:Richter's
2444:Spigelian
2439:Obturator
2429:Umbilical
2262:Ascending
2233:Bile duct
2066:Cirrhosis
2044:Hepatitis
2027:Accessory
1897:Proctitis
1748:Megacolon
1722:Dysentery
1632:Whipple's
1584:Jejunitis
1574:Enteritis
1461:Dyspepsia
1422:Gastritis
1355:Achalasia
1288:Esophagus
1115:1248-9204
1027:1098-2353
937:2349-3305
815:174813338
799:1555-9823
752:1530-4515
692:0035-8843
645:0016-5085
522:2210-2612
467:1432-2323
273:help page
248:help page
227:anatomist
197:morbidity
177:Spigelian
156:Treatment
125:Diagnosis
65:spigelian
57:Spigelian
2417:Indirect
2412:Inguinal
2146:Pyogenic
2091:Vascular
1867:Diarrhea
1845:Volvulus
1811:Vascular
1750: /
1739: /
1700:Ischemic
1667:Appendix
1557:Duodenum
1427:Atrophic
1301:Candidal
1131:28058188
1123:15782280
1070:cite web
1043:12342472
1035:24811238
988:30406110
882:37633720
874:15122618
807:31126386
760:20173625
710:23484989
653:28881194
589:19547696
540:28167457
483:24674266
475:12205553
419:. PubMed
391:26111951
383:16494181
231:Brussels
229:born in
2458:Petit's
2434:Femoral
2337:Chronic
2151:Amoebic
1919:Anismus
1685:Colitis
1612:Coeliac
1589:Ileitis
1561:Jejunum
1414:Stomach
1318:Rupture
979:6206818
701:4098597
580:2699222
531:5294734
255:Spiegel
223:surgeon
145:CT scan
92:hernias
2544:": -->
2452:Lumbar
2422:Direct
2405:Hiatus
2385:Hernia
2237:Other
2003:Melena
1889:Rectum
1372:(GERD)
1224:553.29
1129:
1121:
1113:
1095:Hernia
1041:
1033:
1025:
986:
976:
962:: 66.
935:
880:
872:
813:
805:
797:
758:
750:
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698:
690:
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643:
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528:
520:
481:
473:
465:
389:
381:
338:": -->
291:": -->
281:fascia
260:fascia
207:": -->
203:Eponym
181:hernia
160:": -->
150:hernia
129:": -->
102:": -->
68:fascia
61:hernia
2377:Other
2332:Acute
2083:MASLD
2036:Liver
2010:Lower
1993:Upper
1835:Ileus
1671:Colon
1565:Ileum
1380:(LPR)
1209:K43.9
1127:S2CID
1039:S2CID
878:S2CID
811:S2CID
479:S2CID
387:S2CID
143:or a
16:<
2546:edit
1765:SCAD
1219:9-CM
1166:help
1119:PMID
1111:ISSN
1076:link
1031:PMID
1023:ISSN
984:PMID
933:ISSN
902:link
870:PMID
835:link
803:PMID
795:ISSN
756:PMID
748:ISSN
706:PMID
688:ISSN
649:PMID
641:ISSN
603:link
585:PMID
536:PMID
518:ISSN
471:PMID
463:ISSN
425:2020
398:2020
379:PMID
340:edit
322:are
293:edit
221:, a
209:edit
162:edit
131:edit
104:edit
2071:PBC
1798:IBD
1732:IBS
1215:ICD
1200:ICD
1103:doi
1015:doi
974:PMC
964:doi
925:doi
862:doi
787:doi
740:doi
696:PMC
680:doi
633:doi
629:153
575:PMC
567:doi
526:PMC
510:doi
455:doi
371:doi
304:SRM
2584:).
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225:-
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108:]
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
