Laparoscopic repair of a Spigelian hernia using an expanded polytetrafluoroethylene (ePTFE) mesh

Emergency Intraperitoneal Onlay Mesh Repair of Incarcerated Spigelian Hernia

“…2 Since then, various laparoscopic suture or mesh repairs utilizing a range of techniques like transabdominal preperitoneal repair (TAPP), 5 totally extraperitoneal repair (TEP), 6 and scroll technique 7 have been described. A variety of meshes have also been used, such as polypropylene, 8 polytetrafluoroethylene (PTFE), 9 and composite. 10 Many surgeons nowadays prefer composite mesh because it has a lesser propensity to cause adhesions and obstructions, unlike polypropylene.…”

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: The Scroll Technique

“…We found 19 published case reports and case series about laparoscopic spigelian hernia repair 2,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] (Table 2). These studies included 40 patients in total; all of them had laparoscopic mesh repair except one case that underwent laparoscopic suture repair.…”

“…Since its initial description in 1992 by Carter and Mizes, 4 few studies and case reports have been published about the utilization of the laparoscopic approach in the repair of this type of hernia. 2,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] We present our experience with eight patients who underwent laparoscopic repair of spigelian hernias between October 2002 and May 2006, along with literature review of laparoscopic spigelian hernia repair.…”