Direct Inguinal Hernia Inferior Epigastric Artery
The sac is directed inferior to the inferior epigastric vessels as it protrudes.
Direct inguinal hernia inferior epigastric artery. The neck of the hernia sac lies lateral to the inferior epigastric artery. It can be congenital due to patent processus vaginalis or acquired due to increased intraabdominal pressure as during weight lifting. This type of hernia is more common than the direct inguinal hernia. In this way direct hernia defects are found within hesselbach s triangle.
Direct inguinal hernias may likely develop in both males and females. In male patients follow the spermatic cord spermatic cord runs in the inguinal ring and plunges down into the abdomen at the deep inguinal ring which is where the indirect inguinal. The inferior epigastric artery which arises from the external iliac artery and courses with its companion vein vertically in the preperitoneal fat is the anatomic point differentiating indirect. A direct inguinal hernia protrudes through a weakened area in the transversalis fascia near the medial inguinal fossa within an anatomic region known as the inguinal or hesselbach s triangle an area defined by the edge of the rectus abdominis muscle the inguinal ligament and the inferior epigastric artery.
This type of hernia is termed direct as the hernial sac directly protrudes through the inguinal wall. The direct inguinal hernia gets in via a fault in the fascia of the abdominal wall as well as its sac is considered for being medial towards the inferior epigastric vessels. A direct inguinal hernia emerges anteromedial to the origin of the inferior epigastric vessels and bulges the anterior abdominal wall lateral to the rectus muscle. Hernias of the femoral type are located caudal or inferior to the inguinal ligament and.
Hernias that develop lateral to the inferior epigastric vessels are termed indirect inguinal hernias and those that develop medial to the vessels are direct inguinal hernias. Note that the inguinal canal contents ie testicular vessels vas deferens etc are compressed and.