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CASE REPORT
Year : 2021  |  Volume : 4  |  Issue : 1  |  Page : 23-27

Laparoscopic transabdominal preperitoneal repair in the management of Spiegelian hernia – A three-patient case series and review of the literature


Hospital Angeles del Carmen, Department of Minimally Invasive and Robotic Surgery, Guadalajara, México

Correspondence Address:
Dr. Héctor Alí Valenzuela Alpuche
Tarascos 3469 Int. 217 Condominio Profesional Del Carmen, Colonia Frac. Monraz, Guadalajara, Jalisco
México
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijawhs.ijawhs_29_20

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BACKGROUND: Spiegel hernia (SH) is a rare type of primary ventral hernia. Surgery has been performed by open or minimally invasive means with no current gold standard due to a shortage of current evidence. We advocate for the transabdominal preperitoneal approach (TAPP) for its cost effective outcome. We present a series of 3 cases operated using the TAPP approach in the past 5 years, carried out by a single surgeon, and a review of the literature. METHODS: A retrospective analysis of a case series of 3 patients' operations between January 2015 and June 2020. TAPP repair was found to be a safe and effective anatomical repair with all the added benefits of laparoscopic surgery such as reduced hospital stay, quicker recovery, and fewer surgical site occurrences. CONCLUSIONS: Several operative techniques have been described to repair Spiegel hernia but in our particular practice we felt laparoscopic TAPP approach was the safest and with a more predictable outcome due to the authors familiarity with it.


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