title: A new concept of the aetiology and surgical repair of paraumbilical and epigastric hernias.
abstract: The aetiological factors concerned in the production of paraumbilical and epigastric hernias have been reviewed along structural--functional lines. A positive relation between the aponeurotic pattern and herniation was demonstrable at operation in 25 patients with paraumbilical or epigastric hernias. The effect of abdominal distension, obesity, and straining are discussed. A new type of surgical repair planned on this basis is described. The preliminary results obtained with this technique are reported, with a discussion of other previously described types of surgery.
mesh_terms: D000009:Abdominal Muscles / Q000473:pathology; D000328:Adult; D005260:Female; D006547:Hernia / Q000209:etiology / Q000473:pathology; D006554:Hernia, Umbilical / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged