Aponeurotic Hernias: Recent Observations upon Paraumbilical and Epigastric Hernias
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Laparoscopic ventral hernioplasty in an adolescent with multiple epigastric hernias: A case report
2023, Journal of Pediatric Surgery Case ReportsHernia Formation: Risk Factors and Biology
2023, Surgical Clinics of North AmericaRepair of umbilical and epigastric hernias
2013, Surgical Clinics of North AmericaCitation Excerpt :He found that a perforating blood vessel could always be found in the course of the dissection of epigastric hernias. The decussation hypothesis was popularized by Askar in 1978.19,30 He found that epigastric herniae occur exclusively in patients who do not have triple lines of decussation, and this is what predisposes patients to develop an epigastric hernia (see Fig. 2).
Abdominal hernias
2013, Core Topics in General and Emergency Surgery, Fifth EditionPrimary and Unusual Abdominal Wall Hernias
2008, Surgical Clinics of North AmericaCitation Excerpt :Another hypothesis proposed by Askar [10] and widely quoted relates to an intrinsic weakness in the linea alba fibers. Askar [10,11] noted that the linea alba is formed by the decussation of the tendinous aponeurotic fibers of the muscular layers passing from one side to the other, and that epigastric hernias occur exclusively in patients who had single, instead of triple, anterior and posterior lines of decussation. This finding could not, however, be confirmed by other investigators [12].
Conventional and laparoscopic epigastric hernia repair
2004, Operative Techniques in General Surgery
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