title: Laparoscopic repair of incidentally found Spigelian hernia.
abstract: OBJECTIVE
  A Spigelian hernia is a rare type of hernia that occurs through a defect in the anterior abdominal wall adjacent to the linea semilunaris. Estimation of its incidence has been reported as 0.12% of all abdominal wall hernias. Traditionally, the method of repair has been an open approach. Herein, we discuss a series of laparoscopic repairs.
  
  
  METHODS
  Case series and review of the literature.
  
  
  METHODS
  Three patients are presented. All were evaluated and taken to surgery initially for a different disease process, and all were incidentally found to have a spigelian hernia. These patients underwent laparoscopic repair of their hernias; 2 were repaired intraperitoneally and one was repaired totally extraperitoneally. Two patients initially underwent a mesh repair, while the third had an attempted primary repair.
  
  
  CONCLUSIONS
  There is evidence that supports the use of laparoscopy for both diagnosis and repair of spigelian hernias. There are also reports of successful repairs both primarily and with mesh. In our experience with the preceding 3 patients, we found that laparoscopic repair of incidentally discovered spigelian hernias is a viable option, and we also found that implantation of mesh, when possible, resulted in satisfactory results and no recurrence.
authors: University of Tennessee Medical Center, Department of Surgery, Knoxville, TN 37920, USA. khanjan.nagarsheth@gmail.com
authors: Khanjan H
authors: KH
authors: Nagarsheth
authors: Todd
authors: T
authors: Nickloes
authors: Greg
authors: G
authors: Mancini
authors: Julio A
authors: JA
authors: Solla
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D041881:Cholecystitis, Acute / Q000453:epidemiology / Q000601:surgery; D015897:Comorbidity; D005260:Female; D046449:Hernia, Abdominal / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D006552:Hernia, Inguinal / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D010535:Laparoscopy; D008297:Male; D012005:Rectal Prolapse / Q000453:epidemiology / Q000601:surgery; D012008:Recurrence; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed