Transabdominal Preperitoneal Repair of Spigelian Hernia

Laparoscopic repair of Spigelian hernias has been shown to decrease the average length of stay to one day as opposed to five days with the traditional open repair without a difference in recurrence rates.2 Our case study as well as others have shown laparoscopic repair to be a safe surgery and have high success and low complication rates. Because of the typically small defect seen in Spigelian hernias and, therefore, high risk of strangulation, repair is imperative.