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 (album) is nowhere stated to whom which track corresponds. All of the tracks present on the CDs and DVD are untitled. ANS (album) ANS is a box set created and produced by Coil. The album uses a strange and esoteric photoelectric synthesizer known as the ANS synthesizer. It was built around half a century ago and still to this day sits where it was originally conceived; in the Moscow State University. This 3 CD release also came with a DVD that held animations created by Peter Christopherson which synched with four songs that are not included on any of the CDs.