Spigelian hernia the morbidity and cost associated with foreign material. Adriaan van den Spiegel, a surgeon-anatomist born in Brussels, described this hernia. The first publication was in 1645, twenty years after Spiegel's death. Dr. Raveenthiran of SRM Hospital, Kattankulathur described a new syndrome in which Spigelian hernia and cryptorchidism (undescended testis) occur together. Spigelian hernia A Spigelian hernia (or lateral ventral hernia) is a hernia through the Spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate
Superior epigastric artery thoracic aorta and abdominal aorta. If the abdominal aorta develops a significant stenosis and/or blockage (as may be caused by atherosclerosis), this collateral pathway may develop sufficiently, over time, to supply blood to the lower limbs. A congenitally narrowed aorta, due to coarctation, is often associated with a significant enlargement of the internal thoracic and epigastric arteries. Superior epigastric artery In human anatomy, superior epigastric artery refers to a blood vessel that carries oxygenated blood and arises from the internal thoracic artery (referred to as the internal mammary artery in the accompanying diagram). It anastomoses with the inferior epigastric artery