etiology of hernia
An inguinal hernia (indirect) also occurs through the developmental failure of the processus vaginalis to close. As the testis descends, it pulls a tube of peritoneum along with it. This tube should naturally fibrose and become obliterated but often it fails to fibrose and allows a hernia to form. Recent studies have shown that calcitonin gene-related peptide and hepatocyte growth factor influence the closure of the pro- cessus, raising the possibility of a hormonal cause of hernia development.
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- (no access) - McCaskie, A. W._ O'Connell, P. Ronan_ Williams, Norman S - Bailey & Love's Short practice of surgery (2018, CRC Press) - libgen.li.pdf, p1044
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