Which is more common indirect or direct inguinal hernia?
Epidemiology. 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.
How can you tell the difference between hernias?
The majority of inguinal hernias can be accurately identified with a clinical examination. Where there is diagnostic uncertainty an ultrasound scan of the groin can help differentiate between other possible causes such as enlarged lymph nodes, fatty lumps, or vascular pathology.
How do you know if you have a direct inguinal hernia?
Symptoms
- A bulge in the area on either side of your pubic bone, which becomes more obvious when you’re upright, especially if you cough or strain.
- A burning or aching sensation at the bulge.
- Pain or discomfort in your groin, especially when bending over, coughing or lifting.
- A heavy or dragging sensation in your groin.
What causes an indirect hernia?
The etiology of indirect hernias is largely explainable in terms of the embryology of the groin and of testicular descent. An indirect inguinal hernia is a congenital hernia, regardless of the patient’s age. It occurs because of protrusion of an abdominal viscus into an open processus vaginalis.
What is a fat containing hernia?
An inguinal hernia occurs when the intestines or fat from the abdomen bulge through the lower abdominal wall into the inguinal, or groin, area.
Why is it called direct and indirect hernia?
There are two types of inguinal hernias: Direct: Develops over time due to straining and is caused by weakness in the abdominal muscles. Most common in adult males and rare in children. Indirect: Caused by a defect in the abdominal wall that will typically have been present since birth.
Is inguinal hernia direct or indirect?
An inguinal hernia is a protrusion of parietal peritoneum and possibly pelvic and abdominal structures into the inguinal canal. They are classified as direct or indirect. An indirect inguinal hernia occurs when tissue protrudes the deep inguinal ring travels into the canal and then exits the superficial inguinal ring.
What is direct inguinal hernia?
A direct inguinal hernia occurs when a weakened part of the inguinal Hesselbach triangle is further compromised by excess physical strain that forces intestinal tissue to breach the abdominal wall and enter the inguinal canal. In some cases, a direct inguinal hernia can place one’s life in jeopardy if…
What is indirect umbilical hernia?
Indirect umbilical (paraumbilical) hernias protrude above or below the umbilicus and are the most common type of umbilical hernia in adults. Infantile umbilical hernias result from failure of the umbilical ring to close.
What are the types of inguinal hernia?
There are two types of inguinal hernias: indirect and direct. Indirect inguinal hernias are caused by a defect in the abdominal wall that is present at birth. On the other hand, direct hernias develop over time and are a result of muscle weakness in the lower abdomen—they are most prominent in males.
