Spigelian hernia Spigelian hernia A Spigelian hernia (or lateral ventral hernia) is a hernia through the Spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall; therefore, there is often no notable swelling. Spigelian hernias are usually small and therefore risk of strangulation is high. Most occur on the right side. (4th–7th decade of life.) Compared to other types of hernias they are rare. Patients typically present with either an
Femoral artery Femoral artery The femoral artery is a large artery in the thigh and the main arterial supply to the leg. It enters the thigh from behind the inguinal ligament as the common femoral artery, a continuation of the external iliac artery. Injuries to the femoral artery can require reattachment surgery. Here, it lies midway between the anterior superior iliac spine and the symphysis pubis. The common femoral artery gives off the profunda femoris artery and becomes the superficial femoral artery to descend along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor