V-045 PREPERITONEAL APPROACH FOR BILATERAL SPIGELIAN AND RECURRENT LEFT INGUINAL HERNIAS

Abstract This is a case presentation of preperitoneal repair bilateral Spigelian hernia and recurrent left inguinal hernia. A 71 year old male patient was admitted in the Emergency department after 3 hour right quadrant acute pain. On his medical record he had an anterior (Lichtenstein) 6 months before. The physical examination revealed bulge on lower quadrant. incarcerated but easily reduced. CT scan findings include (bowel content), small umbilical omental did not suffer any other incarceration episodes before surgery, programmed 10 days later. We present video surgical TEP repair, access, triple reduction, double 15×20cm polypropilene tailored mesh placement. discharged second postoperative day, uneventful recovery with no recurrence followup.