Laparoscopic repair for Spigelian-inguinal hernia complex: A case report and review of literature.

ABSTRACT:

Introduction and importance

Spigelian hernia, a rare primary abdominal wall defect accounting for 2 % of all hernias, poses diagnostic challenges due to its anatomical proximity to the semilunar line. Its coexistence with inguinal hernia further complicates management. This report introduces an innovative laparoscopic approach for concurrent Spigelian-inguinal hernia repair.

Case presentation

A patient presented with left lower abdominal and inguinal pain. CT revealed a 4-cm Spigelian hernia ring. We performed the modified TAPE technique combining TAPP and IPOM principles: The hernia sac was reduced transabdominally, followed by preperitoneal mesh placement with peritoneal flap closure. Postoperative recovery was uneventful, with discharge on day 3. Three-month follow-up con

SUBMITTER: Ding D 

PROVIDER: S-EPMC12005893 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature