Publication: Peritonea1 fine structure of inguinal hernia: a scanning electron microscope study
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Date
1986
Authors
Baradi, A.F. ; Heslop, J.H. ; Rao, N.S.
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Publisher
Murcia : F. Hernández
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DOI
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info:eu-repo/semantics/article
Description
Abstract
Mesothelial cells of the normal human
peritoneum of the anterior abdominal wall are covered
with numerous surface microvilli. These cells become
partially denuded inside the sacs of direct and indirect
inguinal hernias and so lose the protective property
the microvillar covering may impart on them. These
mesothelial cells of hernial sacs also acquire an extensive
surface coat of fibrin-like material, presumably due
to the loss of that protective property, which may as a
result subject them to adhesions. There is a considerable
collagen build:up in the subserosal fibrous tissue of
sacs of both direct and indirect inguinal hernias. Such a
build-up is at variance with the accepted current surgical
concept which suggests a-defect in collagen synthesis,
rather than a build-up, as the cause of direct hernia.
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Citation
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