Direct and indirect inguinal hernia anatomy

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Oct 05, 2019 · 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.

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There are two types of inguinal hernia, which can only be exactly identified during the operation: The more frequent one is called "indirect" and the rarer one is called "direct". The indirect inguinal hernia follows the existing anatomical gaps in the groin, i.e. it follows the spermatic cord that consists of the spermatic duct, the vessels ...

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The most common form of hernia is the congenital type (indirect inguinal hernia), with 49% of cases occurring on the right-hand side, 38% on the left-hand side and 13% occurring on both sides. Congenital inguinal hernias develop as a result of incomplete development of the abdominal wall during foetal development.

Right groin anatomy. The intersection of these three structures forms the “Mercedes-Benz” sign. D direct hernia, F femoral hernia, I indirect hernia, Inf inferior epigastric vessels, Sper ... This type of hernia is termed direct as the hernial sac directly protrudes through the inguinal wall in contrast to indirect ones which arise through the deep ring and enter the inguinal canal. Since direct hernias do not have a guiding path, they seldom extend into the scrotum unless very large and chronic.A direct inguinal hernia creates a bulge in the groin area, and an indirect hernia descends into the scrotum; How is a laparoscopic inguinal hernia repair performed? This page includes the following topics and synonyms: Inguinal Hernia, Scrotal Hernia, Indirect Inguinal Hernia, Indirect Hernia, Direct Inguinal Hernia .