Bilateral Spigelian Hernias Robotic Repair: A Novel Approach to a Rare Surgical Entity

We present the first ever reported cases of bilateral Spigelian hernias repaired using robotic approach. Two female Puerto Rican patients referred to our institution complaining of abdominal pain, where imaging studies found bilateral Spigelian hernias. In both cases, a transabdominal preperitoneal repair was performed using the Da Vinci Surgical System. Both patients were discharged home tolerating oral intake with adequate wound healing. On follow up visits, patients denied abdominal discomfort and had adequate wound healing. Robotic surgery for Spigelian hernias poses an advantage over laparoscopic repair as improved visualization, mobility, and precision in movements allow for more gentle tissue manipulation. Furthermore, this is the first evidence of safe and effective repair in the uncommon entity of bilateral cases, providing a newer alternative in the setting of such presentation.PMID:38562951 | PMC:PMC10984373 | DOI:10.4293/JSLS.2023.00055
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Authors: Source Type: research