%0 Journal Article %T Parietal Repair of a Large Spigelian Hernia by Muscle Plasty Associated with a Non-Absorbable Plaque %A Anatole Kapay Kibadi %J Open Access Library Journal %V 10 %N 8 %P 1-8 %@ 2333-9721 %D 2023 %I Open Access Library %R 10.4236/oalib.1110401 %X 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. %K Spigelian Hernia %K Parietal Repair %K Muscle Plasty %K Non-Absorbable Plaque %K Democratic Republic of Congo %U http://www.oalib.com/paper/6798938