Incarcerated Epiploic Appendix in a Spigelian Hernia Treated by Robotic-Assisted Surgery

Diego L Lima; Analena Alcabes; Valentina Viscarret; Raquel Nogueira; Flavio Malcher

doi:10.4293/CRSLS.2023.00008

Incarcerated Epiploic Appendix in a Spigelian Hernia Treated by Robotic-Assisted Surgery

CRSLS. 2023 Jun 9;10(2):e2023.00008. doi: 10.4293/CRSLS.2023.00008. eCollection 2023 Apr-Jun.

Authors

Diego L Lima¹, Analena Alcabes¹, Valentina Viscarret¹, Raquel Nogueira², Flavio Malcher³

Affiliations

¹ Department of Surgery, Montefiore Medical Center, The Bronx, NY.
² Division of General Surgery, NYU Langone Health, New York, NY.
³ Center for Abdominal Core Health, Division of General Surgery, NYU Langone Health, New York, NY.

Abstract

Introduction: We report a case of a patient who presented with incarceration of the epiploic appendix in a spigelian hernia, subsequently treated by a robotic-assisted surgical approach.

Case description: This is a case of a 52 year-old male patient who presented with nausea and two-week history of worsening left lower quadrant pain. On examination, the patient had an irreducible left lower quadrant mass. Computed tomography scan showed an epiploic appendagitis in a left Spigelian hernia. The patient underwent a robotic transabdominal preperitoneal hernia repair successfully and was discharged home the same day.

Conclusion: The robotic platform was a safe and effective approach to treating the patient with no postoperative complications.

Keywords: Hernias; Incarcerated hernia; Robotic surgery; Spigelian hernia; TAPP technique; Transabdominal preperitoneal.

Publication types

Case Reports

MeSH terms

Abdominal Cavity*
Appendix* / diagnostic imaging
Hernia
Humans
Male
Middle Aged
Robotic Surgical Procedures*
Robotics*