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Laparoscopic Spigelian Hernia Repair: A Series of 40 Patients

Kelly, Michael E. BA, MB, MRCS, MCh; Courtney, Danielle BA, MB; McDermott, Frank D. MB, MRCS; Heeney, Anna MB, MRCS; Maguire, Donal FRCS; Geoghegan, Justin G. FRCS; Winter, Des C. MD, FRCS

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: June 2015 - Volume 25 - Issue 3 - p e86–e89
doi: 10.1097/SLE.0000000000000112
Online Articles: Original Articles

Spigelian hernias are a rare abdominal wall hernia. The aim of this study was to assess the efficacy and outcomes of patients who underwent a laparoscopic spigelian hernia repair. A retrospective study was performed reviewing all patients who had a laparoscopic spigelian hernia repair. We assessed the success of the procedure including conversion rates, postoperative morbidities, and recurrence rates. Forty patents had a laparoscopic repair. Two thirds (n=25) had an intraperitoneal repair. There was no conversion to open repair. Four patients had postoperative morbidities. At 6-month follow-up all patients were pain free, with 1 recurrence. There is considerable evidence supporting the opinion that laparoscopic repair offers excellent outcomes. This report is the largest series to date, and we advocate that this approach should become the standard of care.

Department of Surgery, St Vincent’s University Hospital, Dublin, Ireland

The authors declare no conflicts of interest.

Reprints: Michael E. Kelly, BA, MB, MRCS, MCh, St Vincent’s University Hospital, Elm Park, Dublin 4, Ireland (e-mail:

Received May 28, 2014

Accepted September 28, 2014

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.