Case Report: Laparoscopic Repair of an Incarcerated Spigelian Hernia with Mesh in a 70-Year-Old Male

V. Lombardo MD FACS1, A. Galeano MD1, F. Iaropoli MD1 PhD1, V. Campolo MD1

1) Division of General Surgery, IRCCS Ospedale Piemonte-Messina Italy

- 06/04/2026

Abstract

Spigelian hernia is a rare type of ventral hernia, accounting for approximately 1–2% of all abdominal wall hernias. It occurs through a defect located between the semilunar line and the lateral edge of the rectus abdominis muscle. Due to its anatomical location, Spigelian hernias are often difficult to diagnose preoperatively and are frequently associated with high rates of incarceration and strangulation.

Keywords: Spigelian hernia, laparoscopic surgery, intraperitoneal dual mesh, incarcerated hernia, abdominal wall defect.