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    Indirect Inguinal Hernia Vs Direct Inguinal Hernia

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    shodangao
    The document discusses inguinal hernias, including the differences between direct and indirect inguinal hernias. It describes how indirect hernias pass through the deep inguinal ring and can descend into the scrotum, while direct hernias push through the posterior wall of the inguinal canal through Hesselbach's triangle. The document also lists the coverings and characteristics of each type of hernia.

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    Indirect Inguinal Hernia Vs Direct Inguinal Hernia

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    shodangao
    16 views3 pages
    The document discusses inguinal hernias, including the differences between direct and indirect inguinal hernias. It describes how indirect hernias pass through the deep inguinal ring and can descend into the scrotum, while direct hernias push through the posterior wall of the inguinal canal through Hesselbach's triangle. The document also lists the coverings and characteristics of each type of hernia.

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    indirect inguinal hernia vs direct inguinal hernia

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    The document discusses inguinal hernias, including the differences between direct and indirect inguinal hernias. It describes how indirect hernias pass through the deep inguinal ring and can descend into the scrotum, while direct hernias push through the posterior wall of the inguinal canal through Hesselbach's triangle. The document also lists the coverings and characteristics of each type of hernia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views3 pages

    Indirect Inguinal Hernia Vs Direct Inguinal Hernia

    Uploaded by

    shodangao
    The document discusses inguinal hernias, including the differences between direct and indirect inguinal hernias. It describes how indirect hernias pass through the deep inguinal ring and can descend into the scrotum, while direct hernias push through the posterior wall of the inguinal canal through Hesselbach's triangle. The document also lists the coverings and characteristics of each type of hernia.

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    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. There are just two types of inguinal hernias, direct and indirect.
    Indirect inguinal hernia/oblique inguinal hernia
    -The herniated loops of small intestine pass through the deep inguinal ring into the inguinal canal, it may emerge through the superficial
    inguinal ring and descend into the scrotum.
    -When the hernia reaches the scrotal sac it is complete and when it remains in the canal and does not pass through the superficial
    inguinal ring it is said to be incomplete.
    -This type of hernia is more common than the direct inguinal hernia.
    -It can be congenital ( due to patent processus vaginalis) or acquired ( due to increased intraabdominal pressure as during weight
    lifting).
    -The neck of the hernia sac lies lateral to the inferior epigastric artery.
    Direct inguinal hernia
    -It pushes its way into the inguinal canal directly forwards through the posterior wall of the inguinal canal through the Hesselbach’s
    triangle.
    -The neck of the hernia sac lies medial to the inferior epigastric artery.
    What are the boundaries of Hesselbach’s triangle?
    It is located above the medial half of the inguinal ligament. Its boundaries are:
    -Base is formed by the inguinal ligament.
    -Laterally it is bounded by inferior epigastric artery.
    -Medially it is bounded by lateral border of rectus abdominis.
    -Apex is formed where the inferior epigastric artery meets the lateral border of rectus abdominis.
    -Floor is formed by conjoint tendon and fascia transversalis.
    Enumerate the differences between direct and indirect inguinal hernias.
    Indirect inguinal hernia
    Viscus enters the inguinal canal through deep inguinal ring.
    Neck of the hernia sac is narrow.
    Neck of the hernial sac lies lateral to the inferior epigastric artery.
    Occurs in young people.
    Usually congenital-occurs dure to persistent processus vaginalis.
    Direct inguinal hernia
    Viscus enters the canal by pushing forward the posterior wall of the inguinal canal through Hesselbach’s triangle.
    Neck of the hernial sac is wide.
    Neck of the hernial sac lies medial to the inferior epigastric artery.
    Occurs in old age.
    Usually acquired-occurs due to weakness of muscles forming posterior wall of inguinal canal.
    What are the covering of direct and indirect inguinal hernias?
    Coverings of indirect inguinal hernia Coverings of direct inguinal hernia
    Skin Skin
    Superficial fascia Superficial fascia
    External spermatic fascia derived from external oblique aponeurosis External spermatic fascia
    Cremaster muscle and fascia from internal oblique Cremaster muscle and fascia (in lateral direct hernia)/conjoint
    tendon(in medial direct hernia)
    Internal spermatic fascia from fascia transversalis Extraperitoneal tissue
    Extraperitoneal tissue N/A

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