Premium
Laparoscopic management of Spigelian hernias
Author(s) -
Rath Alok,
Bhatia Parveen,
Kalhan Sudhir,
John Suviraj,
Khetan Mukund,
Bindal Vivek,
Ali Asfar,
Singh Rahul,
Wadhera Sushant,
Bansal Nikunj
Publication year - 2013
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12026
Subject(s) - medicine , spigelian hernia , surgery , presentation (obstetrics) , laparoscopy , ventral hernia , perioperative , hernia , surgical mesh , general surgery
S pigelian hernias, also known as spontaneous lateral ventral hernias, are rare primary ventral hernias arising in the S pigelian, or semilunar, line located at the lateral border of recti. Because of its varied presentation, clinical examination is often inconclusive. Traditional repair of such hernias use the open approach. Herein we report on three cases of S pigelian hernias. All were diagnosed and treated laparoscopically at our institution between M arch 2011 and J une 2012. Multiple surgeons performed the repairs using the laparoscopic transabdominal preperitoneal technique of mesh reinforcement and reperitonization. There were no perioperative or postoperative complications. All three were discharged 1 day postoperatively. A complete resolution of preoperative symptoms was observed at follow‐up at 1 week, 1 month and 6 months. Laparoscopic transabdominal preperitoneal repair of Spigelian hernia is safe, easy, and feasible for experienced laparoscopic surgeons.