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In the extreme lower abdomen, there is a natural weakness where 2 muscular bundles and a ligament traverse one another called Hasselbach's Triangle. If the edges of this triangle separate, you get a direct inguinal hernia. So how do you get a faulty (or open) Hasselbach's Triangle?
1) Genetic (thanks, dad)
2) Poor tissue strength (old, out of shape, obese)
3) Muscle strain. Weight lifters, athletes can stretch the triangle.
4) chronic cough, strain, etc.
Mesh is not without complications, but can be used in both open and laparoscopic cases. In general, the laparoscopic recovery is about 1/3 that of an open case.
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My work here is nearly finished.
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