Reply To: Do you have to use the Valsalva Method to find a tiny Spigelian Hernia via MRI?

[LeviProcter]

Yep. Open may be more beneficial as gravity will help pull abdominal wall down and intestines upright push against the anterior abdominal wall. Better than lying flat. Even if your MRI is negative you could still have a Spigelian hernia. It’s premature to comment on repair types (mesh, etc) until it is known what you have. Let us know what the MRI shows.