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
Ans d'Ans" association with Périgord. This association contains six municipalities and all with the descendants of Ans: Badefols-d'Ans, La Boissière-d'Ans, Chourgnac d’Ans, Granges-d'Ans, Sainte-Eulalie-d'Ans and Saint-Pantaly-d'Ans. Ans Ans (; ) is a small Belgian municipality located in the Walloon province of Liège. On January 1, 2006, Ans had a total population of 27,322. The total area is 23.35 km² which gives a population density of 1,170 inhabitants per km². Its postal code is 4430. Ans is the finish location of the road bicycle race Liège–Bastogne–Liège, the oldest of the classic cycle races held every April. Ans is bounded with Liège, Seraing,