Parietal Repair of a Large Spigelian Hernia by Muscle Plasty Associated with a Non-Absorbable Plaque

Abstract

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.