Related Experiment Video
Updated: Jun 15, 2025

Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
Perforated appendicitis within a spigelian hernia
Sarah Kate Whitehouse1, Sara Izwan2, Maseelan Naidoo2
1General Surgery, Cairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia sarah.whitehouse5@health.qld.gov.au.
Abstract:
A woman in her 90s presented to the emergency department with new onset pain in a long standing right spigelian hernia. She was febrile and mildly hypotensive. CT scan demonstrated a hernia containing small and large bowel with significant fat stranding and thus proceeded to operative management via an open appendicectomy and suture repair of the hernia. There are few similar cases in the literature, with the predominance being suture repair, a roughly even split between open and laparoscopic approaches.
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