Hernia is a condition in which part of an organ is displaced and protrudes through the wall of the cavity containing it. A spigelian hernia is a rare type of ventral hernia, principally acquired. Surgery is the only way to treat a spigelian hernia, either by a regular surgical operation or through laparoscopic repair. We present the parietal repair of a large spigelian hernia by muscle plasty and placement of a plate in a 59-year-old patient. The patient had an abdominal ptosis and a surgical history of ipsilateral inguinal hernia repair. The result is satisfactory. Similarly to other ventral hernia, spigelian hernia can be treated with minimally invasive techniques, but an open approach remains a valid option for large hernias. Regardless of the technique employed, a mesh repair is recommended. Nevertheless, a non-mesh repair maybe remains a reasonable alternative in small hernias.
Cite this paper
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