PubMed · 8482137
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V Schumpelick, E Schippers, D Kupczyk-Joeris. 1993. [Errors and danger in hernia surgery].. https://pubmed.ncbi.nlm.nih.gov/8482137/
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Anterior abdominal wall presents a weak point between the pelvic bone and the muscular arch of transverse and internal oblique muscles. This myo-pectineal orifice, crossed by the inguinal ligament is closed by the transversalis fascia. All groin hernias, inguinal directs, indirects or femoral, result from a defect of the transversalis fascia. They have two causes. Congenital hernias result from a persisting peritoneo-vaginal canal. Acquired hernias result from a progressive weakening of the transversalis fascia depending on connective tissue insufficiency and increase of intra-abdominal pressure.