Laparoscopic Transabdominal Preperitoneal Repair of Spigelian Hernia: Case Report
- 1 General Surgery Department, Hospital Angeles Clínica Londres, Mexico City, Mexico
- 2 Anesthesiology Department, Hospital Angeles Clínica Londres, Mexico City, Mexico
- 3 General Surgery Resident, Hospital Angeles Lomas, Mexico’s State, Mexico
Abstract
Spigelian Hernia (SH) is an uncommon anterior abdominal wall defect, it represents 0.1% - 2% of all abdominal wall hernias. SHs have been traditionally repaired by open technique, but laparoscopic approaches are becoming more common and widely described in the literature. Here we present a case report of a 69-year-old woman who presented with abdominal pain, nausea, abdominal distention and absence of bowel movements for 2 days. A computed tomography performed in an external facility revealed a right-sided and incarcerated SH containing bowel and mesentery. The patient was treated surgically and the abdominal wall defect was repaired by a laparoscopic transabdominal preperitoneal (TAPP) approach. The patient was discharged 24 hours after surgery in excellent conditions. We hold that the TAPP approach is anatomically the soundest repair, with all the added benefits of minimally invasive surgery.
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