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
Femoral-tibial angle "genu valgum" or "genu varum", the femoral-tibial angle is about 175 degrees. Femoral-tibial angle The femoral-tibial angle is the angle between the femur and tibia. In humans, the two femurs converge medially toward the knees, where they articulate with the proximal ends of the tibiae. The angle of convergence of the femora is a major factor in determining the femoral-tibial angle. In human females the femora converge more than in males because the pelvic bone is wider in females. In the condition "genu valgum" (knock knee) the femurs converge so much that the knees touch one another. The opposite extreme