Related Experiment Video
Updated: Jul 2, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Mesh-free laparoscopic spigelian hernia repair.
James G Bittner1, Michael A Edwards, Malay B Shah
1Section of Gastrointestinal Surgery, Department of Surgery, Medical College of Georgia School of Medicine, Augusta, Georgia 30912, USA.
The American Surgeon
|August 19, 2008
Summary
Laparoscopic suture repair is a safe and effective mesh-free technique for small Spigelian hernias. This approach offers benefits of laparoscopic surgery without foreign material complications.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Spigelian hernias are uncommon abdominal wall defects.
- Laparoscopic repair is associated with less morbidity and shorter hospitalization than open repair.
- Laparoscopic suture repair for Spigelian hernias is rarely documented.
Observation:
- Two patients with small Spigelian hernias (< or =2 cm) underwent successful laparoscopic transabdominal suture repair.
- The technique involved laparoscopic guidance for placing interrupted polypropylene sutures.
- Postoperative follow-up showed no sequelae or recurrence at one year.
Findings:
- Literature review (2001-2007) indicated Spigelian hernias predominantly affect females, aged 60-80, and are often left-sided.
- Open mesh repair was most common, but laparoscopic mesh repair is increasing.
- Mesh-free laparoscopic suture repair is a feasible and safe alternative.
Implications:
- This technique offers a novel, uncomplicated approach for small Spigelian hernias.
- It combines laparoscopic advantages with avoidance of foreign material morbidity and cost.
- This method presents a viable alternative to mesh repair in select cases.
