Introduction:

Spiegel hernia is an infrequent type of abdominal wall defect. Traditionally, it was repaired with an open technique, currently we have multiple laparoscopic techniques with the use of prosthetic material.

Clinical case:

We present two cases of Spiegel hernia, one patient scheduled electively and one patient of urgency due to incarcerated hernia, both diagnosed pre-surgically with abdominal tomography.

Discussion:

Both patients were successfully operated laparoscopically with intraperitoneal onlay mesh technique using composite mesh and articulated fixation system.

Conclusion:

This technique is shown as a recommended option due to its technical facility, good results, both for elective surgeries and emergency surgeries.

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