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Published on: September 11, 2021
Planned totally extraperitoneal laparoscopic Spigelian hernia repair
1Minimally Invasive Surgery Center, Department of General Surgery, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA.
Surgical Endoscopy
|April 23, 2002
Summary
This study introduces the totally extraperitoneal laparoscopic approach for Spigelian hernia repair. This minimally invasive technique offers a feasible and advantageous method for treating this congenital abdominal wall defect.
Area of Science:
- Abdominal Wall Surgery
- Minimally Invasive Procedures
- Hernia Repair
Background:
- Spigelian hernias are congenital defects of the transversus aponeurosis fascia.
- Traditional open anterior hernioplasty is a common repair method.
- Laparoscopic techniques are emerging for Spigelian hernia repair.
Observation:
- This report details the first totally extraperitoneal laparoscopic approach for a planned Spigelian hernia repair.
- A 62-year-old female presented with a left lower quadrant abdominal wall bulge.
- The procedure involved creating a preperitoneal space for dissection and mesh placement.
Findings:
- The Spigelian defect was readily identified and repaired using a prolene mesh secured with a laparoscopic tacking device.
- The mesh was placed in the preperitoneal space, avoiding contact with intraperitoneal viscera.
- The patient experienced no complications and was discharged shortly after the procedure.
Implications:
- The totally extraperitoneal laparoscopic approach is technically feasible for Spigelian hernias.
- This method offers advantages by preventing direct mesh-viscera interaction.
- Preoperative diagnosis facilitates the application of this beneficial laparoscopic technique.
