Laparoscopic transabdominal preperitoneal repair of concurrent spigelian and groin hernias: a rare case
DOI:
https://doi.org/10.18203/2349-2902.isj20212749Keywords:
TAPP, Spigelian hernia, Direct inguinal hernia, Femoral hernia, Preperitoneal repair, LaparoscopyAbstract
Spigelian hernia is a rare type of abdominal wall hernia due to congenital defect in the transversus aponeurosis fascia. It has a prevalence of 2%. Traditionally, an anterior hernioplasty was used to repair these defects. Only a few cases have been reported in the literature. Here we discuss a case of a 66 year old female with chronic lower abdominal pain with swelling in left inguinal area diagnosed with spigelian hernia on ct scan along with left direct hernia as well as left femoral hernia found incidentally and repaired using totally extra peritoneal single mesh repair.
References
Matsui S, Nitori N, Kato A. Laparoscopic totally extra-peritoneal hernia repair for bilateral Spigelian hernias and coincident inguinal hernia: A case report. International Journal of Surgery Case Reports. 2016;28:169-72.
Moreno-Egea A, Campillo-Soto A, Morales-Cuenca G. Surg Endosc. 2015;29:856.
Kılıç MÖ, Değirmencioğlu G, Dener C. A rare case of Spigelian hernia combined with direct and indirect inguinal hernias. Turkish Journal of Surgery. 2017;33(1):40-2.
Car Peterko A, Kirac I, Filipović Čugura J, Bekavac-Bešli M. Single Incision Laparoscopic Spigelian Hernia Repair - An Approach with a Standard Instrumentarium. Acta Clinica Croatica, 2013;52(3):383-6.
Garg P, Ismail M. Laparoscopic Total Extraperitoneal Repair in Femoral Hernia Without Fixation of the Mesh. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2009;13(4):597-600.
Huiser AL, Bach J, Barnett T. Tapp Repair of Spigelian Hernia and Incidentally Found Indirect Inguinal and Femoral Hernia: a Case Report. Cleveland Clinic Foundation.
Kassir R, Tarantino E, Lacheze R, Brek A, Bartolomeo AD, Tiffet O. Management of Spigelian hernia caused by necrobiotic fibroma of the uterusin a pregnant woman, Int. J. Surg. Case Rep. 2013;4:1176-8.
T.J. Houlihan, A review of Spigelian hernias. Am J Surg. 1976;131:734-5.
Staab DB, Welander JD. Intraoperative images of the totally extraperitoneal repair of concurrent spigelian and groin hernias. CRSLS. e2014.00119.