Laparoscopic Transabdominal Preperitoneal Approach Using Self-Fixating Mesh for Spigelian Hernia Repair: A Case Series Study of Four Patients

Abstract

Spigelian hernia is a rare abdominal wall hernia with a high risk of incarceration. Laparoscopic repair is common, but the optimal approach remains controversial. We evaluated the feasibility and outcomes of laparoscopic transabdominal preperitoneal repair of Spigelian hernia using self-fixating mesh. Patients who underwent this repair between 2019 and 2023 were reviewed. All were treated using a standardized approach with self-fixating mesh without additional fixation. Patient demographics, operative findings, and outcomes were analyzed. Four patients underwent transabdominal preperitoneal repair. All patients had favorable outcomes with no recurrence during follow-up. Laparoscopic transabdominal preperitoneal repair using self-fixating mesh is a feasible technique for Spigelian hernia repair.