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 neck targeting component occurs, early implant failure can result. There are many methods surgeons use to calculate the true centre of the femoral neck. Today the methods broadly fall under two categories: The navigational systems were created to be an accurate means for surgeons to implant components with as much accuracy as possible. Studies have shown that this is largely true, but navigational systems are a very different means of femoral neck targeting, and require a steep learning curve. Below is a comparative analysis of both types of navigational targeting against traditional targeting techniques. A computer-assisted device to calculate the true centre