Inguinal hernia for asymptomatic patients. A direct inguinal hernia is less common (~25–30% of inguinal hernias) and usually occurs in men over 40 years of age. Men have an 8 times higher incidence of inguinal hernia than women. Inguinal hernia An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more
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