Open AccessLetter to the Editor
Author(s) -
Valeika Steve
Publication year - 2014
Publication title -
journal of veterinary internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.356
H-Index - 103
eISSN - 1939-1676
pISSN - 0891-6640
DOI - 10.1111/jvim.12417
Subject(s) - medicine , odds ratio , population , odds , relative risk , baseline (sea) , absolute risk reduction , case control study , disease , cohort , demography , attributable risk , cohort study , interpretation (philosophy) , confidence interval , environmental health , logistic regression , oceanography , sociology , computer science , programming language , geology
I would like to congratulate Professor De Caro and his colleagues (Macchi et al., 2008) for their communication on the uses of the gracilis muscle. It is outstanding from all aspects and in the best tradition of what our Journal stands for. However, I would, for the sake of completeness, like to bring their attention to an aspect of special interest to me, which they may have somewhat overlooked. The use of the gracilis muscle in the management of recurrent hernias was shown to be valuable in this trying condition (Ger, 1984). Direct inguinal hernias are rare in women. Among the factors that account for this rarity is the relative muscularity of an inguinal canal whose muscle has not been partially replaced by fibrous tissue to allow the passage of a large spermatic cord. Throughout the body, contractile dynamic muscular tissue resists strains and stresses better than fascia and ligaments. Many authors support this view, and there is little question that contractile muscle is a far stronger and more physiologic material than the weakened posterior wall of a hernia. It is therefore currently difficult to understand the management of the weakened post abdominal wall of a hernia by synthetic material, which is inert, unphysiologic, and has all the disadvantages of a foreign body.