Why is it called direct inguinal hernia?

A direct hernia doesn’t follow that path through the inguinal ring into the scrotum. That means a hernia that forms one side of the groin or the other is most likely a direct hernia.

What is the difference between a direct and indirect hernia?

The difference is in the anatomical location. Direct hernias protrude through the posterior (back) wall of the inguinal canal. Indirect hernias protrude through the inguinal ring.

What does indirect inguinal hernia mean?

Indirect inguinal hernias are the most common type of groin hernia. Indirect inguinal hernias occur when abdominal content such as fat or bowel pushes down along the inguinal canal. What is the inguinal canal? It is the tunnel through which a man’s vas deferens and testicular vessels travel down into the scrotum.

What is the name for the type of hernia in which both direct and indirect defects are present?

When both direct and indirect hernias are present, it is called a pantaloon hernia. Femoral hernias occur when intraabdominal contents pass beneath the inguinal ligament and through the femoral canal medial to the femoral vein.

What is direct inguinal hernia?

A direct inguinal hernia (alternative plural: herniae) is a type of groin herniation, that arises from protrusion of abdominal viscera through a weakness of the posterior wall of the inguinal canal medial to the inferior epigastric vessels, specifically through Hesselbach’s triangle.

Why is it called direct and indirect hernia?

Direct: Develops over time due to straining and is caused by weakness in the abdominal muscles. Most common in adult males and rare in children. Indirect: Caused by a defect in the abdominal wall that will typically have been present since birth.

How can you tell if a hernia is direct or indirect?

If the hernia comes from superolateral to inferomedial and strikes the distal tip of the finger, it most likely is an indirect hernia. If the hernia strikes the pad of the finger from deep to superficial, it is more likely to be a direct hernia.

Where does a direct hernia occur?

The direct inguinal hernias are officially designated by their anatomic location which is found to be medial (or towards the midline) from the superficial epigastric blood vessels located in the groin. The indirect inguinal hernias occur LATERAL, or to the outside of those superficial epigastric vessels.

Are direct or indirect hernias more common?

Indirect inguinal hernias are five times more common than direct hernias. In boys, indirect inguinal hernias are the result of a congenital defect of a patent processus vaginalis.

What is direct and indirect inguinal hernia?

There are two types of inguinal hernias: Direct: Develops over time due to straining and is caused by weakness in the abdominal muscles. Most common in adult males and rare in children. Indirect: Caused by a defect in the abdominal wall that will typically have been present since birth.

What is the Shouldice method of hernia repair?

The Shouldice technique is a four-layer inguinal hernia repair performed with the patient under local anesthesia. The transversalis fascia is incised from the internal ring laterally to the pubic tubercle medially, and upper and lower flaps are created.