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 Wortel Ans Wortel Ans (Anna Maria) Wortel (18 October 1929, in Alkmaar, Netherlands4 December 1996, in Hilvarenbeek, Netherlands) was a Dutch painter, poet and writer. She made gouaches and oil paintings, aquarelles, drawings, collages, lithographs, etchings, sculptures and glass sculptures. She was an autodidact and won the first prize at the biennale of Paris in 1963. She was one of the leading female artists of postwar Dutch modern art. Wortel’s work is strongly autobiographical. Her experiences as a girl, woman, mother and as an artist were the main source of her inspiration. Common themes are human emotions, love, relationships, mother/child relations