Laparoscopic intraperitoneal mesh repair of Spigelian hernia: A case report

Abstract

Spigelian hernia is a rare congenital defect of the anterior abdominal wall located along the semilunar line through the aponeurosis fascia of the transversus abdominis muscle. It represents 1%-2% of all abdominal wall hernias. Few cases of laparoscopic treatment for Spigelian hernia have been reported, especially in Japan. However, several reports of laparoscopic surgery to repair Spigelian hernias have been published, and some have shown that the laparoscopic approach repair is feasible because it is associated with less morbidity and a shorter hospital stay than open surgery. We herein describe a 63-year-old Japanese woman who presented with painful bulging in the right lower abdominal quadrant. A preoperative diagnosis of Spigelian hernia was made, and we performed laparoscopic intraperitoneal repair. The patient was discharged 6 days after laparoscopic surgery with no perioperative complications. This report describes the first successful laparoscopic intraperitoneal mesh repair of Spigelian hernia in Japan.

Insidious abdominal pain? consider spigelian hernia. A case report

“…This allows the advantage of covering the defect but shielding the bowel from contact with the mesh by repairing the peritoneal flap to sequestrate the mesh. All of these approaches carry excellent rates of success for non-obstructed hernias [5][6][7]. Copyright: ©2018 Seetahal S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.…”

Case report of ovary and fallopian tube as content of a Spigelian hernia – a rare entity

“…Spigelian hernia occurs through a defect in the Spigelian fascia which lies between the rectus abdominis medially and the linea semilunaris laterally. Spigelian hernia was first reported by Klinkosch in 1764 although the semilunar line was first described by Belgian anatomist Adriaan van den Spiegel in 1645 [3] .…”

Spigelian Hernia

“…It was not until 1764, more than a century after the description of the semilunar line, that a Spigelian hernia was described for the first time, reported by the Belgian anatomist Josef Klinkosch [3,6,8].…”

“…Spigelian hernias (SH) are defined as a protrusion of preperitoneal fat, peritoneum or an organ through a defect that can be acquired or congenital, located laterally to the rectus abdominis in the anterior abdominal wall [2,3]. This type of hernia is rare and has been estimated to account for <2% of all abdominal wall hernias [3][4][5][6][7][8][9][10]. Pain is the most common symptom reported by patients [4,7], but there are no pathognomonic signs and symptoms, making clinical diagnosis difficult.…”

“…Due to the high risk of incarceration (25%) [4,6,7], this type of hernia is indicated for surgery [4,5,7,9,11,12]. The surgery can be performed openly or laparoscopically, with or without mesh placement [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Currently, the laparoscopic approach is increasingly used as it is associated with low morbidity rates [2-6, 8, 9, 13, 14].…”