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Surgical physiology of inguinal hernia repair - a study of 200 cases

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Figure

Figure 2Undetached strip of external oblique aponeurosis forming the posterior wall of inguinal canal
Table 1: Table shows movements of the structures before and after repair
Figure 4Changes during raised intra abdominal pressure. A) Contraction of transversus abdominis muscle pulls the poste-rior inguinal wall above and laterally creating tension in it (Dynamic shielding action), B) External oblique aponeurosis and posterior inguinal wall come closer (anterior-posterior compression action), C) Squeezing action and pulling effect of cremasteric muscle, D) Dense and strong cremasteric fascia exerts binding effect on structures in the inguinal canal for their optimal dynamic movements.
Figure 5Flow chart.

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