Umbilical, Epigastric, and Spigelian Hernias

  • David L. Webb
  • Benjamin S. Powell
  • Nathaniel F. Stoikes
  • Guy R. Voeller


Primary ventral hernias are hernias that occur spontaneously along fascial defects of the anterior abdominal wall. Inguinal hernias are the most common type of primary ventral hernias and are discussed separately. This chapter focuses on three specific types of primary abdominal wall hernias: Spigelian, epigastric, and umbilical hernias. Though they occur less frequently than their inguinal counterparts, a thorough understanding of the causes and treatment options for these specific types of hernias is important for any practicing general surgeon. These primary abdominal wall hernias can oftentimes prove to be a diagnostic challenge, and one must approach them with a high index of suspicion to prevent a delay in diagnosis and subsequent surgical management. This chapter will discuss the typical presentation, etiology, and the various treatment options currently available to manage these specific types of primary ventral hernias.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • David L. Webb
    • 1
  • Benjamin S. Powell
    • 1
  • Nathaniel F. Stoikes
    • 1
  • Guy R. Voeller
    • 1
  1. 1.Department of SurgeryUniversity of Tennessee Health Science CenterMemphisUSA

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