title: Laparoscopic Spigelian and inguinal hernia repair with the Kugel patch.
abstract: OBJECTIVE
  Spigelian hernia is a ventral abdominal hernia that only rarely causes incarceration or strangulation of the bowel. Few reports of laparoscopic treatment for Spigelian hernia have been published. Here we report a case of laparoscopic Spigelian and inguinal hernia repair using the Kugel Patch-a shape memory prosthesis.
  
  
  METHODS
  The patient experienced severe intermittent lower abdominal pain, which was difficult to diagnose until repeated computed tomography scans were performed. The patient also had inguinal swelling, which had not been confirmed preoperatively; therefore, we repaired an inguinal hernia and a Spigelian hernia simultaneously by laparoscopic operation using the Kugel Patch.
  
  
  RESULTS
  The surgery was completed without bleeding complications or converting to open operation. The patient was discharged from the hospital on postoperative day 4 with no complications.
  
  
  CONCLUSIONS
  An accurate preoperative diagnosis of Spigelian hernia led to the successful laparoscopic repair with the Kugel Patch.
authors.affiliation: Department of Gastroenterological Surgery, Nagoya City University, Mizuho-cho, Mizuho-ku, Nagoya, Japan. takasato@med.nagoya-cu.ac.jp
authors.forename: Satoru
authors.initials: S
authors.lastname: Takayama
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Imafuji
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Funahashi
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Takeyama
mesh_terms: D005260:Female; D046449:Hernia, Abdominal / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods; D013526:Surgical Mesh