Case Report - Incidental spigelian hernia

Spigelian hernia constitute about 0.12 to 0.2% of all abdominal hernias usually found between 50-60 yrs, affecting both sides and both sexes equally. The absence of typical hernia-type symptoms and the lack of physician experience with such hernias, makes early recognition difficult. The elective treatment of spigelian hernias is by open surgery, or by laparoscopy. The use of laparoscope has simplified its diagnosis, clarified its localization and facilitated the subsequent repair. Laparoscopic repair offers advantage over open mesh repair, including reduced morbidity, shorter hospital stay, cosmetic and perhaps the lower recurrence rate We report two cases of uncomplicated spigelian hernia which we encountered while performing laparoscopic cholecystectomy for symptomatic cholelithiasis.