Laparoscopic Spigelian Hernia Repair: Intraperitoneal Onlay Mesh-Plus Technique-Video Presentation.

BACKGROUND Spigelian hernia represents a rare entity. Traditionally, it was repaired by the open technique. Various laparoscopic techniques have emerged periodically. Most laparoscopic repairs use the technique of placing an intraperitoneal onlay mesh (IPOM). There is currently a tendency to close the hernia defect. METHODS A 68-year-old man was admitted to our hospital complaining of vague abdominal pain and discomfort. Physical examination revealed a bulky palpable mass on the left side of the patient. Computed tomography of abdomen revealed a left-sided incarcerated spigelian hernia containing bowel. The aim of this study was to report an educational video providing a successful laparoscopic IPOM-plus technique with muscles approximation of spigelian hernia repair step by step. RESULTS Total operative time was 120 minutes. The postoperative period was uneventful. The patient reported no pain and the cosmetic result was excellent. No bulging or seroma was noted. The patient was discharged on postoperative day 1. CONCLUSION The IPOM-plus technique may improve the outcome of spigelian hernia repair.

[1]  Q. Nunes,et al.  Meta‐analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair , 2016, The British journal of surgery.

[2]  D. Winter,et al.  Laparoscopic Spigelian Hernia Repair: A Series of 40 Patients , 2015, Surgical laparoscopy, endoscopy & percutaneous techniques.

[3]  A. Moreno-Egea,et al.  Open vs Laparoscopic Repair of Spigelian Hernia , 2015 .

[4]  A. Moreno-Egea,et al.  Which should be the gold standard laparoscopic technique for handling Spigelian hernias? , 2015, Surgical Endoscopy.

[5]  M. T. Nguyen,et al.  Primary Fascial Closure With Laparoscopic Ventral Hernia Repair: Systematic Review , 2014, World Journal of Surgery.

[6]  D. Lomanto,et al.  Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—Part III , 2013, Surgical Endoscopy.

[7]  S. Zachariah,et al.  Laparoscopic Diagnosis of Incarcerated “Spigelian Hernia”: Report of a Case and Review of the Literature , 2011, Case reports in surgery.

[8]  A. Darzi,et al.  Laparoscopic Management of Spigelian Hernias , 2011, Surgical laparoscopy, endoscopy & percutaneous techniques.

[9]  J. Skandalakis,et al.  Spigelian Hernia: Surgical Anatomy, Embryology, and Technique of Repair , 2006, The American surgeon.

[10]  T. Gedebou,et al.  Laparoscopic repair of bilateral spigelian and inguinal hernias , 1998, Surgical Endoscopy.

[11]  J. E. Carter,et al.  Laparoscopic diagnosis and repair of spigelian hernia: report of a case and technique. , 1992, American journal of obstetrics and gynecology.