The development of acute symptoms of intestinal obstruction is usually the first warning of the existence of intra-abdominal hernias. Extensive or prolonged operation is contraindicated, and the saving of time is important. A better understanding of the location and differentiation of the various types will enable the surgeon to make a more rapid, intelligent and systematic exploration.
In my study of the development of the gastro-intestinal tract and abdominal fossae I have used Moynihan's monograph. It is essential that one should be familiar with the development of the gastro-intestinal tract, abdominal fossae and the diaphragm in order fully to understand intra-abdominal hernias.
LOCATION AND ORIGIN OF THE ABDOMINAL FOSSAE
The abdominal fossae may be divided into three groups: those formed around the duodenum, around the cecum and around the sigmoid.Waldeyer,1 in 1868, published an excellent work describing the anatomy of the retroperitoneal fossae. Various theories have been advanced
COPENHAVER NH. INTRA-ABDOMINAL HERNIAS. Arch Surg. 1923;7(2):332-346. doi:10.1001/archsurg.1923.01120020098007