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An epigastric hernia is a type of hernia that causes fat to push through a weakened area in the walls of the abdomen. It may develop in the epigastrium (upper, central part of the abdomen ). Epigastric hernias are more common in adults and usually appear above the umbilical region of the abdomen.
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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.
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 edge of the rectus abdominis muscle, the inguinal ligament and the inferior epigastric artery. These hernias are capable of exiting ...
inferior epigastric artery and vein: labeled at center left, and run from upper right to bottom center. inguinal ligament: not labeled on diagram, but runs a similar path to the inguinal aponeurotic falx, labeled at bottom. rectus abdominis muscle: runs from upper left to bottom left.
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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The hernias of the anterior abdominal wall include: epigastric hernias, umbilical hernias, spigelian hernias and incisional hernias. Those of the groin include: direct inguinal hernia, indirect inguinal hernia, femoral hernia and sports hernia. Those of the pelvic wall include: sciatic hernia, obturator hernia and perineal hernia.
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