By J. P. H. Neidhardt (auth.), Professor J. P. Chevrel (eds.)
"The top publication approximately hernias out there (G. Wantz). first-class subject continuously well timed may still attract a wide diversity of basic surgeons".
The results of a European-American co-operation, whose joint efforts have dramatically lowered the speed of recurrent groin hernia, burst stomach and incisional hernia in patients.
The participants to this up-to-date quantity are one of the most famous experts within the box and right here they current own debts of the as soon as debatable recommendations they've got now perfected.
New sections were further to incorporate such progressive ideas as prosthetic mesh and laparoscopic surgery.
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Extra info for Hernias and Surgery of the abdominal wall
These narrow "buttonholes" in the posterior lamina may impinge on the nerves passing through them, thus leading to spontaneous pain syndromes via a phenomenon of entrapment. It should also be noted that transverse suture material often ruptures along this deep layer. a) Arcuate Line (Semicircular Line of Douglas) The arcuate line lies roughly along the line joining the right and left anterior-superior iliac spines. It is sometimes a clearly defined, almost sharp structure. In other cases, it is marked by a progressive zone of transition where the resistant posterior lamina of the rectus sheath blends into the much weaker transverse fascia.
Obliquus internus abdominisi 3 m. transversus abdominis; 4 lamina posterior vaginae m. recti; 5 m. rectus abdominis; 6 linea arcuata; 7 hernial sac between the linea arcuata and a. epigastrica inferior, normally covered by the m. rectus abdominis; 8 a. H. Neidhardt arises (although Spiegel never described such a hernia).
H. Neidhardt arterial networks, lying near the umbilical cicatrix, is formed by richly anastomotic arterial branches emanating from the anterior lamina of the rectus sheath. The deep arterial circle, lying along the fibrous ring of the umbilicus, is supplied by two ascending branches of the inferior epigastric artery. This arterial circle communicates with the vascular network running along the round ligament of the liver and thus extends in depth. Since it is vascularized from all sides by the superficial arterial circle and in depth by the deep arterial circle, the umbilicus is not prone to necrosis when it is either detached from the underlying layers or isolated by a circular incision leaving its connections to the fibrous ring intact.
Hernias and Surgery of the abdominal wall by J. P. H. Neidhardt (auth.), Professor J. P. Chevrel (eds.)