Contemporary opinions on the etiopathogenesis of abdominal wall hernias

Abstract

Contemporary views on the ethiopathogenesis of abdominal hernias are presented in this report. The historical evolution of these views on the origin and development of hernia is presented. Special attention was given to modern theories based on ultrastructural investigation of the fasciae and exploring the genetic foundations of such alterations. A hernia is contemporarily viewed as a polyetiological condition, influenced by alterations in the structure and function of the fascia as well as functional changes, such as increased intraabdominal pressure. The latter seem to act rather as a trigger factor. Modern science has not yet been able to answer all of the questions concerning the etiology of hernias. The problem is extremely important, as it determines proper treatment.