Caitlin Polistena, MD, Diego Camacho, MD, FACS. Montefiore Medical Center
Spigelian hernias are a rare entity that can be difficult to diagnose. Nonetheless, accurate identification of such hernias is important as they are prone to strangulation and can be challenging to manually to reduce. Surgical intervention is generally recommended. Traditionally the repair of a Spigelian hernia has been an open approach, making an incision over the hernia, mobilizing the surrounding tissues to access the neck, reducing the hernia, and either performing a primary suture repair of the defect or placing a mesh as a sublay or onlay. However, the laparoscopic approach is being utilized more and more frequently as it allows for quicker recovery with less pain and the ability to visualize the contralateral side for an incidental defect. This video abstract demonstrates a laparoscopic totally extraperitoneal repair of a Spigelian hernia that was apparent on CT scan performed for right lower quadrant abdominal pain, though was not as clearly evident from a laparoscopic view within the peritoneal cavity.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86749
Program Number: V219
Presentation Session: Thursday Video Loop (Non CME)
Presentation Type: VideoLoop