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Minimally invasive spigelian hernia repair.
Catherine Baucom1, Quan D Nguyen, Marco Hidalgo
1Tulane University School of Medicine, Department of Surgery, New Orleans, Louisiana 70112, USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 8, 2009
Summary
Laparoscopic repair using Gortex mesh offers a successful minimally invasive alternative for incarcerated spigelian hernias. This approach led to symptom resolution and quick recovery in two patients.
Area of Science:
- Abdominal Surgery
- Minimally Invasive Procedures
- Hernia Repair
Background:
- Spigelian hernia is a rare ventral hernia involving the linea semilunaris.
- Traditional repair involves open transverse incision and primary closure.
- This study explores laparoscopic repair for incarcerated spigelian hernias.
Observation:
- Two cases of incarcerated spigelian hernia treated with laparoscopic mesh repair.
- Patients experienced rapid recovery, resuming regular diet on postoperative day 1.
- Discharge occurred on postoperative days 2 and 3.
Findings:
- Successful laparoscopic repair of incarcerated spigelian hernias using Gortex mesh.
- One patient developed a self-resolving seroma.
- Complete symptom resolution observed at 12-month follow-up.
Implications:
- Laparoscopic repair is a viable alternative to open surgery for spigelian hernias.
- Further comparative studies are needed to evaluate open versus laparoscopic techniques.
- Minimally invasive surgery shows promise for treating this uncommon hernia type.
