Inguinal Hernia Triangle
Bowel can then exit the canal via the superficial inguinal ring and form a lump in the scrotum or.
Inguinal hernia triangle. The direct hernia leaves the triangle via its lateral part or medial part and consequently it s of 2 types. The lumbar triangle hernia may occur through defects in the inferior or superior triangles of the posterior abdominal wall. There are just two types of inguinal hernias direct and indirect. Indirect inguinal hernia oblique inguinal hernia.
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. In a direct inguinal hernia bowel herniates through a weakness in the inguinal triangle and enters the inguinal canal. Inguinal hernia is a protrusion of loop of small intestine into the inguinal canal is termed as inguinal hernia.
It presents as a swelling above and medial to pubic tubercle above the inguinal ligament. It is mainly due to the lack of clinical awareness about this rare type of hernia. Labeled at center left and run from upper right to bottom center. The term entire inguinal hernia is utilized if hernial contents get to the tunica vaginalis.
Inguinal region is considered as a weak spot in the lower abdomen owing to the presence of superficial deep inguinal ring and the inguinal canal. The hernia protrudes directly through the abdominal wall. Inguinal triangle is labeled in green. It is the site of direct inguinal hernia.
If the hernia is reduced and pressure is applied with two fingertips to the internal inguinal ring at the mid way point from the asis to the pubic tubercle the hernia will remain reduced. Due to weakness in the abdominal wall around hasselbach s triangle. Trigonum inguinale ta hesselbach triangle inguinal trigone. The inguinal triangle represents an area of potential weakness in the abdominal wall through which herniation can occur.
Inferior epigastric artery and vein. A lateral direct inguinal hernia and b medial direct inguinal hernia. However same as the inguinal hernia it can not be inferred that the lumbar triangle hernia is the foremost cause of lower back pain. Not labeled on diagram but runs a similar path to the inguinal aponeurotic falx labeled at bottom.
The triangular area in the lower abdominal wall bounded by the inguinal ligament below the border of the rectus abdominis medially and the inferior epigastric vessels lateral umbilical fold laterally.