PlexMediaServer-1.28.1.6041-738907df3 update crashing on Synology DS218+ when starting

If the repair does not work, you can try restoring from a backup.

FAQ 31 - DSM 7 - Database Repair using a Backup copy

Depending on when the corruption occurred, the backups might also be corrupt. You should check them using the procedure outlined in the Repair document.