title: Recurrent spigelian hernia: a case report.
abstract: Only seven cases of spigelian hernia recurrence have been previously reported. We report the case of a 75-year-old male patient who presented with extremely large hernia after four unsuccessful suture repairs over 12 years. The abdominal wall defect was repaired with Marlex mesh. The advantage of using prosthetic mesh in both primary and recurrent spigelian hernia is supported by recent clinical research data indicating a generalized collagen metabolism disorder in patients with primary and recurrent hernia. Mesh repair allows for tension-free anatomic restoration of distorted tissues associated with repair failures.
authors.affiliation: Department of Surgery, University of Missouri-Columbia, Columbia, Missouri 65212, USA.
authors.forename: Julian E
authors.initials: JE
authors.lastname: Losanoff
authors.forename: Bruce W
authors.initials: BW
authors.lastname: Richman
authors.forename: James W
authors.initials: JW
authors.lastname: Jones
mesh_terms: D000009:Abdominal Muscles / Q000473:pathology; D000368:Aged; D006555:Hernia, Ventral / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D012008:Recurrence; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome