Minimally Invasive Spigelian Hernia Repair |
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Authors: | Catherine Baucom Quan D Nguyen Marco Hidalgo and Douglas Slakey |
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Institution: | Tulane University School of Medicine, Department of Surgery, New Orleans, Louisiana. |
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Abstract: | Introduction:Spigelian hernia is an uncommon ventral hernia characterized by a defect in the linea semilunaris. Repair of spigelian hernia has traditionally been accomplished via an open transverse incision and primary repair. The purpose of this article is to present 2 case reports of incarcerated spigelian hernia that were successfully repaired laparoscopically using Gortex mesh and to present a review of the literature regarding laparoscopic repair of spigelian hernias.Methods:Retrospective chart review and Medline literature search.Results:Two patients underwent laparoscopic mesh repair of incarcerated spigelian hernias. Both were started on a regular diet on postoperative day 1 and discharged on postoperative days 2 and 3. One patient developed a seroma that resolved without intervention. There was complete resolution of preoperative symptoms at the 12-month follow-up.Conclusion:Minimally invasive repair of spigelian hernias is an alternative to the traditional open surgical technique. Further studies are needed to directly compare the open and the laparoscopic repair. |
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Keywords: | Spigelian hernia Laparoscopic hernia repair |
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