Part IV - spontaneous ventral hernias study of the etiology and treatment in the view of certain anatomical, clinical and operative observations in 104 cases

ABSTRACT

One hundred cases of herniae of the linea alba [midline spontaneous ventral herniae] were studied. Out of these we had 32 cases of paraumbilical hernlae which we regarded as defects in the lhiea alba nearest to the umbilicus. We believe that these herniae were due to protrusions of the extraperitoneal-fat through vascular lacunae. Vertical repair with imblication of the linea alba in its extent above the umbilicus was done using stainless steel wire. This technique proved very efficient in almost all cases. Two cases of spigelian herniae were presented and described. We had one more case of spontaneous lateral ventral hernia, due to congenital muscular deficiency