Abstract

The coexistence of multiple hernias in different anatomical zones, such as the abdominal wall and bilateral inguinal region, is an uncommon condition scarcely documented in the literature. Most reports focus on individual hernia repair in specific locations, making the true incidence of simultaneous multiple hernia repair uncertain. This clinical case represents a significant contribution, as it demonstrates the feasibility of performing multiple laparoscopic repairs in a single surgical session for various hernias. We present the case of an octogenarian patient with a history of right nephrectomy due to benign pathology, with no additional risk factors. He presented with mild abdominal pain and a large bulge in the right abdominal flank and bilateral inguinal regions. Physical examination revealed a right lateral incisional hernia, an umbilical hernia, and bilateral inguinal hernias. A single-stage laparoscopic repair was performed, placing a mesh at each site and combining different approaches for each defect. The postoperative course was satisfactory, with no complications and rapid functional recovery. This case exemplifies that synchronous laparoscopic repair of multiple hernias is a viable, safe, and potentially beneficial option in selected patients, allowing adequate visualization, minimal postoperative pain, and shortened recovery time.

Keywords

Inguinal hernia, umbilical hernia, lateral incisional hernia, multiple abdominal hernias, simultaneous repair, laparoscopy, literature review