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Updated: Jul 7, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Laparoscopic spigelian hernia repair: the scroll technique.

Alan A Saber1, Mohamed H Elgamal, Arun J Rao

  • 1Department of Surgery, Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, Michigan 49008, USA. saber@kcms.msu.edu

The American Surgeon
|March 1, 2008
PubMed
Summary

Laparoscopic spigelian hernia repair is effective and safe, even for subtle presentations. A novel scroll technique simplifies mesh placement, showing no recurrence in a 36-month follow-up.

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Area of Science:

  • Abdominal Surgery
  • Minimally Invasive Procedures
  • Hernia Repair

Background:

  • Spigelian hernia is a rare condition with subtle symptoms, often requiring diagnostic laparoscopy.
  • Laparoscopic ventral hernia repair is common, but spigelian hernia repair via laparoscopy is less studied.

Purpose of the Study:

  • To present a case series of laparoscopic spigelian hernia repair.
  • To describe a simple technique for mesh placement during laparoscopic spigelian hernia repair.
  • To review existing literature on laparoscopic spigelian hernia repair.

Main Methods:

  • A retrospective review of eight patients who underwent laparoscopic spigelian hernia repair.
  • Description of a "scroll technique" for mesh placement.
  • Literature review of previously published laparoscopic spigelian hernia repairs.

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Main Results:

  • Successful laparoscopic repair in all eight patients (six female, two male).
  • Mean operative time was 92.5 minutes.
  • No postoperative complications or recurrence observed during a mean follow-up of 36 months.

Conclusions:

  • Laparoscopic spigelian hernia repair is feasible and effective.
  • The "scroll technique" is a simple and reproducible method for mesh placement, minimizing manipulation and ensuring accurate orientation.
  • This approach offers a safe and durable solution for spigelian hernias.