Tapp Repair of Spigelian Hernia and Incidentally Found Indirect Inguinal and Femoral Hernia: a Case Report

Amy L Hiuser, MD, John Bach, MD, Timothy Barnett, MD. Cleveland Clinic Foundation


We are reporting a case of an 84 year-old female who presented to outpatient surgery clinic with complaints of a right-sided abdominal bulge. Upon physical examination patient was found to have a bulge at the lateral border of the rectus muscle at the level of the semilunar line; subsequently was diagnosed with a spigelian hernia. The patient elected to undergo laparoscopic surgical repair with a Trans-abdominal pre-peritoneal approach. At the time of surgery patient was found to have two incidental hernias: a right indirect inguinal as well as a right femoral hernia, neither of which were appreciable upon pre-operative physical examination. Repair was conducted using a single Proceed mesh 15x20cm and carried out in the pre-peritoneal plane. The patient had an uneventful post operative course and was discharged home on post operative day 3.


Session Number: Poster – Poster Presentations
Program Number: P267
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