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
Femoral artery canal, and becomes the popliteal artery as it passes through an opening in adductor magnus near the junction of the middle and distal thirds of the thigh. Its first three or four centimetres are enclosed, with the femoral vein, in the femoral sheath. The "relations" of the femoral artery are as follows: The femoral artery gives off several "branches" in the thigh which include; In clinical parlance, the part of the femoral artery proximal to the origin of profunda femoris is often termed the common femoral artery, while that distal to the origin of the profunda is termed the superficial