Pathophysiology of Hernia

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Pathophysiology

• Inguinal canal is the normal canal of the fetus.


• In the 8th month of pregnancy, desensus testiculorum occurs through the
inguinal canal.
• A decrease in the testicles will attract the peritoneum to the scrotum area,
resulting in a peritoneal bulge called the peritoneal vaginal process.
• When the baby is born generally this process has been obliterate, so the
contents of the abdominal cavity can’t through the canal.
• But in some cases often have not closed, because the left testis down first
from right, then the right inguinal canal is more often open.
• Under normal circumstances, this open channel will close by 2 months of
age.
• When the process is partly open, it will arise hydrocele.
• If the canal is open continuously, because the process does not obliterate,
it will arise congenital lateral inguinalis hernia
• Usually hernia in adults is due to age  at an old age
muscle wall of the abdominal cavity can be weakened.
• In the elderly the canal has closed, but because a locus
minoris resistance  causing increased intraabdominal
pressure such as, chronic cough, strong sneeze and
heavy lifting and straining, then closed canals can
reopen and a lateral inguinal hernia arises from the
impulse of tissue and exit through the defect.
• Finally suppress the cavity walls that have been dilated
due to trauma, prostatic hypertrophy, ascites,
pregnancy, obesity, and congenital abnormalities.

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