Spigelian hernia intermittent mass, localized pain, or signs of bowel obstruction. Ultrasonography or a CT scan can establish the diagnosis, although CT scan provides the greatest sensitivity and specificity. These hernias should be repaired because of the high risk of strangulation; surgery is straightforward, with only larger defects requiring a mesh prosthesis. Varied Spigelian hernia mesh repair techniques have been described, although evidence suggests laparoscopy results in less morbidity and shorter hospitalization compared with open procedures. Mesh-free laparoscopic suture repair is feasible and safe. This novel uncomplicated approach to small Spigelian hernias combines the benefits of laparoscopic localization, reduction, and closure without
Deep circumflex iliac artery Deep circumflex iliac artery The deep circumflex iliac artery (or deep iliac circumflex artery) is an artery in the pelvis that travels along the iliac crest of the pelvic bone. The deep circumflex iliac artery arises from the lateral aspect of the external iliac artery nearly opposite the origin of the inferior epigastric artery. It ascends obliquely and laterally, posterior to the inguinal ligament, contained in a fibrous sheath formed by the junction of the transversalis fascia and iliac fascia. It travels to the anterior superior iliac spine, where it anastomoses with the ascending branch of the lateral femoral circumflex