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Darning Inguinal Hernias

Darning Inguinal Hernias Abstract When the hand of the Potter shakes as the inguinal region is fashioned, one result may be poor or deficient fibromuscular tissue leaving an inadequate barrier so that abdominal pressures may produce a hernia at any time from fetal life to old age. Such weak tissue may tear when a patent sac is suddenly filled, or may stretch gradually when the sac is slowly fashioned. Removal of the sac does nothing to reinforce the weak fascia which allowed the sac to fill or form, nor does the muscular edge of the combined transversalis and internal oblique muscles act as a "shutter" against future pressures, for those very muscles which may be excellent in texture and volume are quite incapable of holding back, on straining, the reduced contents of a hernia, even in a strong young man with a preformed sac, and if the sac is removed but no reinforcement made References 1. Moloney GE: The effect of human tissues on the tensile strength of implanted nylon sutures . Brit J Surg 48:528-530, 1961.Crossref 2. Douglas DM: The tensile strength of sutures: B.P.C. method of test; loss when implanted in living tissue . Lancet 2:497-501, 1949.Crossref 3. Moloney GE, Gill WG, Barclay, RC: Operations for hernia: Technique of nylon darn . Lancet 2:45-48, 1948.Crossref 4. Moloney GE: Results of nylon darn repairs of herniae . Lancet 1:273, 1958.Crossref 5. Edwards H: Inguinal hernia . Brit J Surg 31:172-185, 1943.Crossref 6. Leacock AG, Rowley RK: Results of nylon repairs in inguinal hernias . Lancet 1:20-21, 1962.Crossref 7. Shuttleworth, KED, Davies WH: Treatment of inguinal herniae . Lancet 1:126-127, 1960.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Darning Inguinal Hernias

Archives of Surgery , Volume 104 (2) – Feb 1, 1972

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1972.04180020009001
Publisher site
See Article on Publisher Site

Abstract

Abstract When the hand of the Potter shakes as the inguinal region is fashioned, one result may be poor or deficient fibromuscular tissue leaving an inadequate barrier so that abdominal pressures may produce a hernia at any time from fetal life to old age. Such weak tissue may tear when a patent sac is suddenly filled, or may stretch gradually when the sac is slowly fashioned. Removal of the sac does nothing to reinforce the weak fascia which allowed the sac to fill or form, nor does the muscular edge of the combined transversalis and internal oblique muscles act as a "shutter" against future pressures, for those very muscles which may be excellent in texture and volume are quite incapable of holding back, on straining, the reduced contents of a hernia, even in a strong young man with a preformed sac, and if the sac is removed but no reinforcement made References 1. Moloney GE: The effect of human tissues on the tensile strength of implanted nylon sutures . Brit J Surg 48:528-530, 1961.Crossref 2. Douglas DM: The tensile strength of sutures: B.P.C. method of test; loss when implanted in living tissue . Lancet 2:497-501, 1949.Crossref 3. Moloney GE, Gill WG, Barclay, RC: Operations for hernia: Technique of nylon darn . Lancet 2:45-48, 1948.Crossref 4. Moloney GE: Results of nylon darn repairs of herniae . Lancet 1:273, 1958.Crossref 5. Edwards H: Inguinal hernia . Brit J Surg 31:172-185, 1943.Crossref 6. Leacock AG, Rowley RK: Results of nylon repairs in inguinal hernias . Lancet 1:20-21, 1962.Crossref 7. Shuttleworth, KED, Davies WH: Treatment of inguinal herniae . Lancet 1:126-127, 1960.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1972

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