What Is A Direct Inguinal Hernia
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.
What is a direct inguinal hernia. There may be a visible bulge in the groin area. If the hernia protrudes despite occlusion of the deep inguinal ring this indicates a direct hernia. An indirect inguinal hernia is the most common type. These usually occur in adult males.
An inguinal hernia can be labeled direct or indirect depending on how and when it forms. Direct inguinal hernia this occurs when a portion of the intestine protrudes through a weakness in the abdominal muscles along the wall of the inguinal canal. Inguinal hernias can be indirect or direct incarcerated or strangulated. The direct inguinal hernia enters through a weak point in the fascia of the abdominal wall and its sac is noted to be medial to the inferior epigastric vessels.
Chances are the age and gender of the person with the hernia will have a lot to do with which. These are common in adults but rarely occur in children. These are most often caused by a weakness in the muscles of the abdominal wall that develops over time or are due to straining or heavy lifting. In adults direct and indirect inguinal hernias look and feel about the same.
Direct inguinal hernias are more common later in life because the. It often occurs in premature births. They can occur on one or both sides of the groin. The cause of an inguinal hernia will depend on whether it is direct or indirect.
A direct inguinal hernia a type of groin herniation are a common type of abdominal hernias they arise from protrusion of abdominal viscera through a weakness of the posterior wall of the inguinal canal medial to the inferior epigastric vessels specifically through the hesselbach s triangle. Sutures mend the torn or ruptured abdominal tissue and close the hole. Theoretically to differentiate a direct from an indirect inguinal hernia the examiner must reduce the hernia and then place pressure over the deep inguinal ring located at the mid point of the inguinal ligament before asking the patient to cough. This type of hernia is termed direct as the hernial sac directly protrudes through the inguinal wall.
Aging and stress or strain can weaken the muscles around the. A direct inguinal hernia occurs when excess physical strain forces intestinal tissue to breach the abdominal wall. During surgery to repair a direct inguinal hernia the compromised intestinal tissue is restored to its normal position. Hernias can be on one or both sides of the abdomen.
Find out how to tell a direct hernia from an indirect hernia.