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organic nature of hernia
An abdominal wall hernia has two essential components, a defect in the wall and content, i.e. tissue that has been forced outwards through the defect. The weakness may be entirely in muscle, such as an incisional hernia. It may also be in the fascia, similar to an epigastric hernia through the linea alba. It may have a bony component, such as a femoral hernia. The weakness in the wall is usually the narrowest part of the hernia which expands into the subcutaneous fat outside the muscle. The defect varies in size and may be very small or indeed very large. The nature of the defect is important to understanding the risk of hernia complications. A small defect with rigid walls traps the content and prevents it from freely moving in and out of the defect, increasing the risk of complications
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owner: nerdparty67 - (no access) - McCaskie, A. W._ O'Connell, P. Ronan_ Williams, Norman S - Bailey & Love's Short practice of surgery (2018, CRC Press) -, p1045


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