[Laparoscopic surgery of Spiegelian hernia]

A case of spigelian hernia in a 33-year-old woman, diagnosed preoperatively and operated on laparoscopically, is described. Simultaneously, a bilateral femoral hernia without previous symptoms was diagnosed and treated. Goretex dualmesh was used for the spigelian hernia, polypropylene plugs for the femoral hernias, fixation with Goretex sutures and metal coils. Laparoscopic approach for the diagnosis and treatment of rare hernias in the abdominal wall is advocated, because of the diagnostic potential and reduced postoperative discomfort.