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Indirect inguinal hernia is still the most common groin hernia for females. If a woman has an indirect inguinal hernia, her internal inguinal ring is patent, which is abnormal for females. The protrusion of peritoneum is not called "processus vaginalis" in women, as this structure is related to the migration of the testicle to the scrotum.
Although women account for roughly 70% of femoral hernia repairs, indirect inguinal hernias are still the most common subtype of groin hernia in both males and females. [14] Inguinal hernia surgery is also one of the most common surgical procedures, with an estimated incidence of 0.8-2% and increasing up to 20% in preterm children. [15] [16]
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.
Left and right inguinal regions shown in lower part of diagram. In human anatomy, the groin, also known as the inguinal region or iliac region, [1] is the junctional area between the torso and the thigh. [2] The groin is at the front of the body on either side of the pubic tubercle, where the lower part of the abdominal wall meets the thigh.
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 ...
The canal of Nuck, first described by Anton Nuck in 1691, [1] [2] is an abnormal patent (open) pouch of peritoneum extending into the labia majora of women. It is analogous to a patent processus vaginalis in males (see hydrocele testis , inguinal hernia ).
There is the potential for an indirect inguinal hernia to develop, although not all people with a patent vaginal process will develop one. The more patent the vaginal process, the more likely the patient is to develop a hernia.
The lump is more globular than the pear-shaped lump of the inguinal hernia. The bulk of a femoral hernia lies below an imaginary line drawn between the anterior superior iliac spine and the pubic tubercle (which essentially represents the inguinal ligament) whereas an inguinal hernia starts above this line. Nonetheless, it is often impossible ...
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