Novosti
Khirurgii
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Year 2006 Vol. 14 No 2

V.V. VOLODKIN, O.D. MYADELETS, N.G. KHARKEVICH

MACROMICROSCOPIC PECULIARITIES OF THE INGUINAL REGION AND POSSIBLE CAUSES OF THE INGUINAL HERNIAS RECURRENCE

Anatomical peculiarities of the inguinal region and linked with them possibilities of inguinal hernia development are described in the article. Predisposing and causing factors of inguinal hernia development are described.
Based on the large clinical material (503 patients) the hernias incidence, their localization and diversity, the average age of patients are analyzed.
Microscopic differences in the collagen fibers composition in the structures forming inguinal region were revealed: in the transversal fascia, in the aponeurosis of the external oblique muscle of the stomach, in the hernial sac, in the transversal muscle in those who have inguinal hernia and in the control group. The most marked changes of collagen fibers in the mentioned structures were observed in patients who had recurrent hernias.
Collagen fibers destruction results in the weakening of the peritoneum framework function as well as of the transverse fascia, the muscle, aponeurosis and as the result in hernia development.

Keywords: inguinal hernia, recurrence, inguinal region, destruction of the collagen fibers
p. 7 - 12 of the original issue
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Contacts | ©Vitebsk State Medical University, 2007