Spigelian hernia, laparoscopic

After sterile washing and draping of the entire abdomen from the costal margin to the symphysis, an open entry into the abdomen is made through a small incision placed contralateral to the hernia. Blunt insertion of a 10 mm trocar, establishment of pneumoperitoneum, the intra-abdominal pressure should be approximately 12-15 mmHg.
 

Introduce the camera optics and inspect for possible injuries or bleeding: Particular attention should be paid to adhesions in the immediate vicinity of the first trocar. After an orienting laparoscopy, introduce a 5mm working trocar. This is always done under vision and is therefore relatively safe. The exact location must be determined by the surgeon based on their preferences and experience. A second working trocar will be positioned later.