Laparoscopic repair for Spigelian hernia : A case report Ikue NONOGAKI 1 , Yuki SUNAGAWA 1,2 , Akira MIZUNO 1 , Shinya KOIKE 1 , Koichiro TAGAMI 1 1Department of Surgery, The Aichi Prefectural Federation of Agricultural Cooperatives for Health and Welfare Atsumi Hospital 2Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine Keyword: Spigelヘルニア , 腹腔鏡 , IPOM Plus pp.304-309
Published Date 2019/7/15
DOI https://doi.org/10.11477/mf.4426200715
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 A 73-year-old man presented with left lower abdominal mass with discomfort. It had started as a small bulge about 3 years ago, but it gradually increased in size. Abdominal computed tomography showed the absence of muscular fasciae and protrusion of small intestine at the left lateral margin of the rectus abdominis muscle. Preoperative diagnosis of Spigelian hernia was made, and we performed laparoscopic intraperitoneal onlay mesh repair with closure of hernia orifice (IPOM Plus). We identified a round hernia orifice, approximately 3 cm in size, in the lower quadrant. The hernia orifice was covered with VentralightTM mesh. The patient was discharged 7 days after surgery with no perioperative complications. Spigelian hernia represents about 2% of all abdominal wall hernias. Few cases of IPOM Plus for Spigelian hernia have been reported. We report this case with literature review.

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