Related Experiment Video
Updated: Jun 13, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Laparoscopic Spigelian and inguinal hernia repair with the Kugel patch
Satoru Takayama1, Hiroyuki Imafuji, Hitoshi Funahashi
1Department of Gastroenterological Surgery, Nagoya City University, Mizuho-cho, Mizuho-ku, Nagoya, Japan. takasato@med.nagoya-cu.ac.jp
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|April 16, 2010
Summary
Laparoscopic repair of Spigelian hernia, a rare ventral abdominal hernia, was successfully performed using the Kugel Patch. This approach allowed for simultaneous repair of an inguinal hernia with no complications.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Spigelian hernia is a rare ventral abdominal wall defect.
- Laparoscopic repair of Spigelian hernia is infrequently reported.
- Early diagnosis and treatment are crucial for favorable outcomes.
Observation:
- A patient presented with severe, intermittent lower abdominal pain, challenging initial diagnosis.
- Computed tomography scans were essential for identifying the Spigelian hernia.
- Preoperative assessment also revealed an unconfirmed inguinal hernia.
Findings:
- Simultaneous laparoscopic repair of both Spigelian and inguinal hernias was performed using the Kugel Patch, a shape memory prosthesis.
- The procedure was completed without intraoperative bleeding or conversion to open surgery.
- The patient experienced an uncomplicated recovery and was discharged on postoperative day 4.
Implications:
- Accurate preoperative diagnosis is key for successful laparoscopic Spigelian hernia repair.
- The Kugel Patch is a viable option for simultaneous Spigelian and inguinal hernia repair.
- Laparoscopic techniques offer a minimally invasive approach for complex hernia cases.
