Abdominal Cavity: Anatomy, Structural Anomalies, and Hernias
Kevin P. Murphy
Cork University Hospital and University College Cork, Cork, Ireland
Search for more papers by this authorMichael M. Maher
Cork University Hospital and University College Cork, Cork, Ireland
Search for more papers by this authorOwen J. O'Connor
Cork University Hospital and University College Cork, Cork, Ireland
Search for more papers by this authorKevin P. Murphy
Cork University Hospital and University College Cork, Cork, Ireland
Search for more papers by this authorMichael M. Maher
Cork University Hospital and University College Cork, Cork, Ireland
Search for more papers by this authorOwen J. O'Connor
Cork University Hospital and University College Cork, Cork, Ireland
Search for more papers by this authorDaniel K. Podolsky MD
President, University of Texas Southwestern Medical Center, Professor of Internal Medicine, Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, TX, USA
Search for more papers by this authorMichael Camilleri MD
Executive Dean for Development, Atherton and Winifred W. Bean Professor, Professor of Medicine, Physiology and Pharmacology, Distinguished Investigator, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorJ. Gregory Fitz MD FAASLD
Executive Vice President for Academic Aff airs and Provost, University of Texas Southwestern Medical Center, Dean, Professor of Internal Medicine, Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, TX, USA
Search for more papers by this authorAnthony N. Kalloo MD
Professor of Medicine, Johns Hopkins University School of Medicine, Director, Division of Gastroenterology & Hepatology, Johns Hopkins Hospital, Baltimore, MD, USA
Search for more papers by this authorFergus Shanahan MD
Professor and Chair, Department of Medicine, Director, Alimentary Pharmabiotic Centre, University College Cork, National University of Ireland, Cork, Ireland
Search for more papers by this authorTimothy C. Wang MD
Chief, Division of Digestive and Liver Diseases, Silberberg Professor of Medicine, Department of Medicine and Irving Cancer Research Center, Columbia University Medical Center, New York, NY, USA
Search for more papers by this authorSummary
This chapter details the salient points regarding abdominal cavity development and anatomy, developmental and childhood structural anomalies of the abdominal cavity, and adult abdominal hernias. Key components of the abdominal cavity include the peritoneum and its reflections that envelop, suspend, or form boundaries around many intraabdominal organs. The normal anatomy has a number of variations, some of which result in pathological conditions. These include disorders of bowel rotation, consequences of physiological umbilical herniation, as well as failure of membrane formation leading to development of hernias. Adult hernias can be classified based on their site of origin: abdominal wall (groin or nongroin varieties), internal, pelvic, and diaphragmatic varieties. Surgical repair is recommended for all internal, pelvic, and diaphragmatic hernias apart from small asymptomatic diaphragmatic varieties. Internal hernia repair often requires laparotomy but can be safely performed laparoscopically by experienced surgeons.
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