Direct And Indirect Inguinal Hernia Anatomy

Direct inguinal hernias occur medial to the inferior epigastric vessels when abdominal contents herniate through a weak spot in the fascia of the posterior wall of the inguinal canal which is formed by the transversalis fascia.

Direct and indirect inguinal hernia anatomy. In children the vast majority of inguinal hernias are indirect. An inguinal hernia can be labeled direct or indirect depending on how and when it forms. An inguinal hernia is an abnormal protrusion of intra abdominal contents either through the deep inguinal ring indirect inguinal hernia. Inguinal hernia is a protrusion of loop of small intestine into the inguinal canal is termed as inguinal hernia.

See here for more information on direct and. Indirect inguinal hernia differences between indirect and direct inguinal hernias. Both types of hernia can exit the via the superficial ring and emerge within the testes. By definition a direct inguinal hernia occurs medially to the inferior epigastric vessels through the inguinal triangle and an indirect hernia occurs laterally to these vessels.

There may be a visible bulge in the groin area. Find out how to tell a direct hernia from an indirect hernia. Chances are the age and gender of the person with the hernia will have a lot to do with which. Medial to the inferior epigastric artery inguinal hernias are often asymptomatic presenting as a painless swelling in the groin.

Direct inguinal hernia in contrast to the indirect hernia direct inguinal hernias are acquired usually in adulthood due to weakening in the abdominal musculature. The peritoneal sac bulges into the inguinal canal via the posterior wall medial to the epigastric vessels and can enter the superficial inguinal ring. This is in contrast to an indirect inguinal hernia where bowel enters the inguinal canal via the deep inguinal ring. Please note that it is more common for indirect inguinal hernias to do this as the path through both anatomical inguinal rings rather than a muscle defect has less resistance.

It is five times more common than a direct inguinal hernia and is seven times more frequent in males due to the persistence of the processus vaginalis during testicular descent. This type of hernia is termed direct as the hernial sac directly protrudes through the inguinal wall. There are just two types of inguinal hernias direct and indirect. It presents as a swelling above and medial to pubic tubercle above the inguinal ligament.

Though both types of hernias are inguinal hernias an indirect hernia is caused by a birth defect while a direct hernia is caused by muscle weakness in the abdominal wall. Lateral to the inferior epigastric artery or through the weakened posterior wall of the inguinal canal direct inguinal hernia. Indirect inguinal hernia oblique inguinal hernia.