Laparoscopic repair of incidentally found spigelian hernia

Khanjan H. Nagarsheth, Todd Nickloes, Gregory Mancini, Julio A. Solla

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

Background and Objectives: A Spigelian hernia is a rare type of hernia that occurs through a defect in the anterior abdominal wall adjacent to the linea semilunaris. Estimation of its incidence has been reported as 0.12% of all abdominal wall hernias. Traditionally, the method of repair has been an open approach. Herein, we discuss a series of laparoscopic repairs. Methods: Case series and review of the literature. Cases: Three patients are presented. All were evaluated and taken to surgery initially for a different disease process, and all were incidentally found to have a spigelian hernia. These patients underwent laparoscopic repair of their hernias; 2 were repaired intraperitoneally and one was repaired totally extraperitoneally. Two patients initially underwent a mesh repair, while the third had an attempted primary repair. Conclusions: There is evidence that supports the use of laparoscopy for both diagnosis and repair of spigelian hernias. There are also reports of successful repairs both primarily and with mesh. In our experience with the preceding 3 patients, we found that laparoscopic repair of incidentally discovered spigelian hernias is a viable option, and we also found that implantation of mesh, when possible, resulted in satisfactory results and no recurrence.

Original languageEnglish (US)
Pages (from-to)81-85
Number of pages5
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume15
Issue number1
DOIs
StatePublished - Jan 1 2011

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Hernia
Herniorrhaphy
Abdominal Wall
Abdominal Hernia
Laparoscopy
Recurrence
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Laparoscopic repair of incidentally found spigelian hernia. / Nagarsheth, Khanjan H.; Nickloes, Todd; Mancini, Gregory; Solla, Julio A.

In: Journal of the Society of Laparoendoscopic Surgeons, Vol. 15, No. 1, 01.01.2011, p. 81-85.

Research output: Contribution to journalReview article

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