TITLE:
Laparoscopic Transabdominal Preperitoneal Repair of Spigelian Hernia: Case Report
AUTHORS:
José Luis Calderón, Sandra Danahe Díaz, Luis Miguel Zamora
KEYWORDS:
Spigelian Hernia, Hernia of the Semilunar Line, Laparoscopic Hernia Repair, Ventral Hernia
JOURNAL NAME:
Surgical Science,
Vol.12 No.12,
December
28,
2021
ABSTRACT: Spigelian
Hernia (SH) is an uncommon anterior abdominal wall defect, it represents 0.1% - 2% of all abdominal wall hernias. SHs have been traditionally
repaired by open technique, but laparoscopic approaches are becoming more
common and widely described in the literature. Here we present a case report of
a 69-year-old woman who presented with abdominal pain, nausea, abdominal
distention and absence of bowel movements for 2 days. A computed tomography
performed in an external facility revealed a right-sided and incarcerated SH
containing bowel and mesentery. The patient was treated surgically and the
abdominal wall defect was repaired by a laparoscopic transabdominal
preperitoneal (TAPP) approach. The patient was discharged 24 hours after
surgery in excellent conditions. We hold that the TAPP approach is anatomically
the soundest repair, with all the added benefits of minimally invasive surgery.