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Laparoscopic Transabdominal Preperitoneal Approach Using Self-Fixating Mesh for Spigelian Hernia Repair: A Case
Ryosuke Kawamoto1, Teppei Kamada2, Hiroshi Sugano1
1Department of Gastroenterological Surgery, Shin-Yurigaoka General Hospital, Kawasaki, Kanagawa, Japan.
Asian Journal of Endoscopic Surgery
|July 6, 2026
Summary
Laparoscopic transabdominal preperitoneal repair using self-fixating mesh is a feasible and effective technique for Spigelian hernia. This minimally invasive approach offers favorable outcomes with no recurrence in patients.
Area of Science:
- Abdominal surgery
- Minimally invasive surgery
- Hernia repair
Background:
- Spigelian hernia is a rare abdominal wall defect with a high risk of incarceration.
- Laparoscopic repair is frequently used, but the optimal surgical technique is debated.
Purpose of the Study:
- To evaluate the feasibility and outcomes of laparoscopic transabdominal preperitoneal (TAPP) repair for Spigelian hernias.
- To assess the efficacy of using self-fixating mesh without additional fixation in TAPP repair.
Main Methods:
- A retrospective review of patients who underwent laparoscopic TAPP repair for Spigelian hernia between 2019 and 2023.
- Analysis of patient demographics, operative findings, and short-term outcomes, including recurrence rates.
Main Results:
- Four patients underwent the standardized laparoscopic TAPP repair using self-fixating mesh.
- All patients experienced favorable outcomes, with no hernia recurrence observed during the follow-up period.
Conclusions:
- Laparoscopic transabdominal preperitoneal repair with self-fixating mesh is a feasible and safe technique for Spigelian hernias.
- This approach provides good outcomes and avoids recurrence, supporting its use in clinical practice.
