Laparoscopic management of Spigelian hernia

Emergency Intraperitoneal Onlay Mesh Repair of Incarcerated Spigelian Hernia

“…This is true even in the elderly patients undergoing laparoscopic repair of Spigelian hernias. 11 In the only prospective study comparing the open versus laparoscopic repair of Spigelian hernia in 22 patients, the laparoscopic group compared with the open group had significantly lower morbidity (4 vs 0, P<0.05) and hospital stay (median of 5.2 vs 1.4 days, P<0.001). 12 TEP has been the method of choice in elective cases, whereas TAPP has been the preferred method in emergency settings, mainly because of small bowel incarceration and distension in emergency presentation.…”

Incidence and outcome of surgical repair of spigelian hernia

“…The hernia defect is usually small and can often be closed without tension, but a mesh graft may be required. Reports on laparoscopic surgery20, 21 using preperitoneal or intra‐abdominal closure techniques15, 22–27 have been published. Evidence‐based recommendations related to the size of the defect and the need for a mesh graft, or laparoscopy versus laparotomy, have not been reported.…”

Laparoscopic Spigelian Hernia Repair: A Systematic Review

“…Wound infection is often thought to be reduced in patients undergoing laparoscopic repair although the literature does not confirm this [37,40]. Morengo-Egea et al [33] This is not the final published version As laparoscopic methods have been developed for more prevalent abdominal wall hernias, they are also being used for laparoscopic SH repair.…”