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
Body of pubic bone of the Obturator internus. Body of pubic bone The body of pubic bone forms the wide, strong, medial and flat portion of the pubic bone which unite in the pubic symphysis. The rough superior edge of the "corpus", the pubic crest, ends laterally in the pubic tubercle. This tubercle, found roughly 3 cm from the pubic symphysis, is a distinctive feature on the lower part of the abdominal wall; important when localizing the superficial inguinal ring and the femoral canal of the inguinal canal. Its "internal surface" enters into the formation of the wall of the lesser pelvis and gives