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Direct inguinal hernias may occur in males or females, but males are ten times more likely to get a direct inguinal hernia. [15] 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 ...
A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal canal, is known as a direct inguinal hernia. In males with strong presentation of the cremasteric reflex , the testes can—during supine sexual activity or manual manipulation—partially or fully retract into the ...
An indirect inguinal hernia and a direct inguinal hernia can be distinguished by their positioning in relation to the inferior epigastric vessels. An indirect hernia is situated laterally to these vessels, whereas a direct hernia is positioned medially to them. Inguinal hernias are the most common type of hernia in both men and women.
Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. There are two different clusters of hernia: groin and ventral (abdominal) wall. Groin hernia includes femoral, obturator, and inguinal. [1]
Sometimes a direct hernia may be present with an indirect hernia on the same side when it is known as a saddlebag hernia. Like other flexion surfaces of large joints ( popliteal fossa , armpit , cubital fossa and essentially the anterior part of the neck ), it is an area where blood vessels and nerves pass relatively superficially, and with an ...
It is defined by the following structures: Medial border: Lateral margin of the rectus sheath. [1] [2]Superolateral border: Inferior epigastric vessels. [1] [2]Inferior border: Inguinal ligament.
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A weakening of the conjoint tendon can precipitate a direct inguinal hernia. [1] [2] A direct inguinal hernia will protrude through Hesselbach's triangle, whose borders are the rectus abdominis (medially), inferior epigastric artery and inferior epigastric vein (superolaterally), and the inguinal ligament (inferiorly).
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