What is difference between direct and indirect hernia?


What is difference between direct and indirect hernia?

If you’re a man and your doctor finds that the hernia has extended into your scrotum, the diagnosis is usually an indirect 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.

How do you diagnose an indirect and direct hernia?

The size of the external ring can be ascertained by palpating just lateral to the pubic tubercle. Again with the patient coughing, hernia bulges can be felt either against the side of the examining finger (direct hernia) or at the tip of the finger as it approaches the internal ring (indirect hernia).

Which is more common direct or indirect hernia?

It is five times more common than a direct inguinal hernia, and is seven times more frequent in males, due to the persistence of the processus vaginalis during testicular descent. In children, the vast majority of inguinal hernias are indirect.

Why is it called an indirect hernia?

Because the sac emerges through the deep inguinal ring and passes through the inguinal canal, it is an indirect type and because it passes beside the spermatic cord we call it juxtacordal hernia. Because of the thick extraperitoneal fat layer over the sac, we think this hernia is acquired.

Is inguinal hernia direct or indirect?

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.

Which type of hernia is more common?

In an inguinal hernia, fatty tissue or a part of the intestine pokes into the groin at the top of the inner thigh. This is the most common type of hernia, and affects men more often than women.

What is the direct and indirect inguinal hernia?

Direct inguinal hernias are often caused by age-related stress and weakened muscles in the inguinal canal. Indirect inguinal hernias are caused by a persistent opening that does not close during fetal development. The only way to repair an inguinal hernia is through surgery.

Why is it called direct inguinal hernia?

While indirect inguinal hernias travel along the inguinal canal, the DIRECT inguinal hernias occur DIRECTLY through the medial inguinal wall. So, I explain to patients what we see at operation, that the DIRECT inguinal hernias occur “DIRECTLY” through the inside wall of the groin.

What are two types of hernias?

The most common types of hernia are inguinal (inner groin), incisional (resulting from an incision), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach). In an inguinal hernia, the intestine or the bladder protrudes through the abdominal wall or into the inguinal canal in the groin.

What are the different types of inguinal hernia?

Types of inguinal hernias

  • Indirect inguinal hernia. An indirect inguinal hernia is the most common type.
  • Direct inguinal hernia. A direct inguinal hernia most often occurs in adults as they age.
  • Incarcerated inguinal hernia.
  • Strangulated inguinal hernia.

What is a indirect inguinal hernia?

Inguinal hernias are further subdivided into direct and indirect. An indirect hernia occurs when abdominal contents protrude through the internal inguinal ring and into the inguinal canal. This occurs lateral to the inferior epigastric vessels. The hernia contents may extend into the scrotum.

Where does an indirect hernia occur?

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.