case_images: PMC9979863_01
case_images: CT scan of the abdomen and pelvis without contrast, which displays a periumbilical incisional hernia (dotted arrow) and a left-sided Spigelian hernia (plain arrow).
case_images: cureus-0015-00000034441-i01.jpg
case_images: PMC9979863_01_cureus-0015-00000034441-i01.jpg
case_images: FIG1
case_images: Upon further investigation with CT imaging, a 3.5 cm left-sided Spigelian hernia and a 3 cm periumbilical incisional hernia were identified, as seen in Figure 1.
case_images: Fat removal from periumbilical defect.
case_images: cureus-0015-00000034441-i02.jpg
case_images: PMC9979863_01_cureus-0015-00000034441-i02.jpg
case_images: FIG2
case_images: This left the preperitoneal space with an opening, as seen in Figure 2.
case_images: GORE  SYNECOR hybrid composite mesh sutured over periumbilical defect intraperitoneally.
case_images: cureus-0015-00000034441-i03.jpg
case_images: PMC9979863_01_cureus-0015-00000034441-i03.jpg
case_images: FIG3
case_images: Subsequently, the periumbilical incisional hernia defect was closed intraperitoneally with 0 V-Loc sutures and a 12 cm circle GORE  SYNECOR hybrid composite mesh, as seen in Figure 3.
case_images: Synthetic absorbable mesh sutured over Spigelian defect preperitoneally.
case_images: cureus-0015-00000034441-i04.jpg
case_images: PMC9979863_01_cureus-0015-00000034441-i04.jpg
case_images: FIG4
case_images: Next, the left-sided Spigelian hernia defect was closed preperitoneally with 0 V-Loc sutures and a 9 cm preperitoneal synthetic absorbable mesh, as seen in Figure 4.