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
Genitofemoral nerve lumboinguinal nerve also known as the femoral branch, both of which then continue downwards and medially to the inguinal and femoral canal respectively. The genital branch passes through the deep inguinal ring and enters the inguinal canal. In men, the genital branch supplies the cremaster and scrotal skin. In women, the genital branch accompanies the round ligament of uterus, terminating in and innervating the skin of the mons pubis and labia majora. The femoral branch passes underneath the inguinal ligament, travelling through the lateral muscular compartment of the femoral canal where it innervates skin of the upper leg. Passing through