Laparoscopic Repair of Spigelian Hernia: Our Experience

Abstract

Laparoscopic TAPP is an acceptable method of spigelian hernia repair with good results and low recurrence rates. However, long-term follow-up studies are required to assess the late recurrence rate.

Spigelian Hernia Containing an Incarcerated Appendix- A Case Report and Literature Review

“…Untreated it can also lead to obstruction, necrosis and bowel perforation. The risk of recurrence is not very low, and it ranges from 5% to 14% [1,3,[5][6][7]14,15,19].…”

Laparoscopic Transabdominal Preperitoneal Repair of Spigelian Hernia—Closure of the Fascial Defect Is Not Necessary

“…21,31,38 The absence of typical hernia symptoms, lack of persistent physical findings, and the partial nature of the defect can make early diagnosis difficult. Hence SH often remains unrecognized and is underreported.…”

“…49,50 The most commonly reported (39%) laparoscopic method of SH repair is the intraperitoneal onlay mesh technique. 12,13,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] This procedure involves reduction of the hernial contents and placement of a composite mesh directly on the abdominal wall. Although the technique is relatively simple, its major drawbacks are the possibility of interactions between peritoneal contents and the mesh potentially causing significant complications.…”

“…Of the laparoscopic SH repairs reported in the literature, the most popular repair is the intraperitoneal onlay mesh method, followed by transabdominal preperitoneal (TAPP) repair. 12,13,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] The majority of surgeons reporting use of the TAPP repair close the defect despite there being no evidence in the literature supporting this. 16,19,31,[34][35][36] Here we report the outcome of the largest series of patients undergoing laparoscopic TAPP repair of SH that deliberately omits approximation of the fascial defect.…”

Spigelian hernia: Case series and our experience

“…[22] Spigel fıtığı, laparoskopik yöntem ile intraperitoneal veya ekstraperitoneal yama konularak başarılı bir şekilde düşük nüks oranları ile tedavi edilebilir. [7,23] Spigel fıtıklarında, elektif ve acil olgularda polipropilen yama ile cerrahi onarım düşük nüks oranlarıyla gü-venle uygulanabilir.…”