title: Laparoscopic management of Spigelian hernias.
abstract: Spigelian hernias, also known as spontaneous lateral ventral hernias, are rare primary ventral hernias arising in the Spigelian, or semilunar, line located at the lateral border of recti. Because of its varied presentation, clinical examination is often inconclusive. Traditional repair of such hernias use the open approach. Herein we report on three cases of Spigelian hernias. All were diagnosed and treated laparoscopically at our institution between March 2011 and June 2012. Multiple surgeons performed the repairs using the laparoscopic transabdominal preperitoneal technique of mesh reinforcement and reperitonization. There were no perioperative or postoperative complications. All three were discharged 1 day postoperatively. A complete resolution of preoperative symptoms was observed at follow-up at 1 week, 1 month and 6 months. Laparoscopic transabdominal preperitoneal repair of Spigelian hernia is safe, easy, and feasible for experienced laparoscopic surgeons.
authors.affiliation: Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India. dralokrath@gmail.com
authors.forename: Alok
authors.initials: A
authors.lastname: Rath
authors.forename: Parveen
authors.initials: P
authors.lastname: Bhatia
authors.forename: Sudhir
authors.initials: S
authors.lastname: Kalhan
authors.forename: Suviraj
authors.initials: S
authors.lastname: John
authors.forename: Mukund
authors.initials: M
authors.lastname: Khetan
authors.forename: Vivek
authors.initials: V
authors.lastname: Bindal
authors.forename: Asfar
authors.initials: A
authors.lastname: Ali
authors.forename: Rahul
authors.initials: R
authors.lastname: Singh
authors.forename: Sushant
authors.initials: S
authors.lastname: Wadhera
authors.forename: Nikunj
authors.initials: N
authors.lastname: Bansal
mesh_terms: D005260:Female; D006555:Hernia, Ventral / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged
keywords: Laparoscopic; Spigelian; transabdominal preperitoneal repair