Authors: R C Read
Publish Date: 2007/05/17
Volume: 11, Issue: 4, Pages: 299-302
Abstract
During the past 5000 years ancient nomenclature and dogmas regarding the etiology of protrusions have accumulated Whereas in the abdomen the Latin “hernia” supplanted Greek it based on content persists in the pelvis as cystocele rectocele etc Russell Lancet 11519–1523 1902 championed the congenital saccular theory of herniae denying they could ever be acquired pathologically Barring technical error removal of the sac would cure Despite dissent in the 1920s by Harrison Keith and Andrews Russell’s concepts held late into the twentieth century We now know that pathology – systemic connective tissue disease – plays an important role in adult herniation Tensionless prosthetic repair is usually required since the healing of damaged musculoaponeurotic structures in abdomen or pelvis is impaired Laparoscopists have declared sliding extraperitoneal prolapse of sacless kidney ureter bladder and fat pad to be herniae Similar vaginal protrusions should be denoted likewise It is time gynecologists and herniologists join in the effort to develop antidotes for combating this pernicious comorbidity which has been shown also to cause aneurysms diverticulosis coli skin changes and emphysema Prophylaxis should include exercise and going without cigarettes
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