[5] However, a number of patients present with no obvious symptoms but vague tenderness along the area in which the Spigelian fascia is located.

In contrast to the laparoscopic intraperitoneal onlay mesh plan of action there is a significant higher risk associated with complications and recurrence rates during the period following a surgical operation.

[citation needed] Today, a Spigelian hernia can be repaired by doing robotic laparoscopy and most patients are discharged on the same day.

This novel, uncomplicated approach to small Spigelian hernias combines the benefits of laparoscopic localization, reduction, and closure without the morbidity and cost associated with foreign material.

[12] Mesh-free laparoscopic suture repair is an uncomplicated approach to small Spigelian hernias combined with the benefits of a closure without the anguish and cost associated with foreign material.