[Laparoscopic management of a Spigelian hernia]

The Spigelian hernia occurs where the vertical linea semilunaris, along the lateral border of the rectus muscle, joins the linea semicircularis. The hernia lies in the soft tissue under the aponeurosis of the oblique abdominis muscle; incision of that layer can be avoided by laparoscopic techniques. In this case the hernial canal was closed, firstly with single titanium staples, and secondly with a continuous laparoscopic suture using resorbable material. In suspicious cases laparoscopy should be performed to confirm the diagnosis of a Spigelian hernia. Laparoscopic hernial repair should be evaluated by further usage of this technique.