An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles.COVID-19:Advice,updatesandvaccineoptionsWeareopenforsafein-personcare.Learnmore:MayoClinicfactsaboutcoronavirusdisease2019(COVID-19)OurCOVID-19patientandvisitorguidelines,plustrustedhealthinformationLateston COVID-19vaccination bysite:ArizonapatientvaccinationupdatesArizona,FloridapatientvaccinationupdatesFlorida,RochesterpatientvaccinationupdatesRochesterandMayoClinicHealthSystempatientvaccinationupdatesMCHSSkiptositenavigationSkiptoContentThiscontentdoesnothaveanEnglishversion.ThiscontentdoesnothaveanArabicversion.SectionsforInguinalherniaSymptoms&causesDiagnosis&treatmentDoctors&departmentsPrintOverviewInguinalherniaOpenpop-updialogboxCloseInguinalherniaInguinalherniaInguinalherniasoccurwhenpartofthemembraneliningtheabdominalcavity(omentum)orintestineprotrudesthroughaweakspotintheabdomen—oftenalongtheinguinalcanal,whichcarriesthespermaticcordinmen.Aninguinalherniaoccurswhentissue,suchaspartoftheintestine,protrudesthroughaweakspotintheabdominalmuscles.Theresultingbulgecanbepainful,especiallywhenyoucough,bendoverorliftaheavyobject.However,manyherniasdonotcausepain.Aninguinalherniaisn'tnecessarilydangerous.Itdoesn'timproveonitsown,however,andcanleadtolife-threateningcomplications.Yourdoctorislikelytorecommendsurgerytofixaninguinalherniathat'spainfulorenlarging.Inguinalherniarepairisacommonsurgicalprocedure.Products&ServicesBook:MayoClinicFamilyHealthBook,5thEditionNewsletter:MayoClinicHealthLetter—DigitalEditionShowmoreproductsfromMayoClinicSymptomsInguinalherniasignsandsymptomsinclude:Abulgeintheareaoneithersideofyourpubicbone,whichbecomesmoreobviouswhenyou'reupright,especiallyifyoucoughorstrainAburningorachingsensationatthebulgePainordiscomfortinyourgroin,especiallywhenbendingover,coughingorliftingAheavyordraggingsensationinyourgroinWeaknessorpressureinyourgroinOccasionally,painandswellingaroundthetesticleswhentheprotrudingintestinedescendsi

Indirect: Caused by a defect in the abdominal wall that will typically have been present since birth. Most common in children, it affects up to 5 percent of ...Directvs.indirectinguinalherniasMedicallyreviewedbyJudithMarcin,M.D.—WrittenbyTomSeymouronMay17,2017Whatisaninguinalhernia?SymptomsCausesDiagnosisTreatmentOutlookTherearemanydifferenttypesofhernias.Aninguinalherniaiswhenabulgeorprotrusionoftissueoccursinthegroinarea.Theyoccurwithintheinguinalcanalandcanextendintothescrotuminmales.Theinguinalcanaltravelsthroughtheabdominalwallandisapassagewayfromtheabdomentothegenitals.Peoplehavetwoinguinalcanals,oneoneachsideofthelowerabdomen.Theabdomenisdefinedastheareabetweenthechestandhips.Thelowerabdominalwallistheinguinalregion,morecommonlyknownasthegroin.Oftenwhatbulgesisbodyfatorpartofthesmallintestine,whichcomesthroughaweakenedpartofthelowerabdominalwall.Whatisaninguinalhernia?Therearetwotypesofinguinalhernias:Direct:Developsovertimeduetostrainingandiscausedbyweaknessintheabdominalmuscles.Mostcommoninadultmalesandrareinchildren.Indirect:Causedbyadefectintheabdominalwallthatwilltypicallyhavebeenpresentsincebirth.Mostcommoninchildren,itaffectsupto5percentofnewbornsandupto30percentofprematurebabies.Often,itisdiscoveredinthefirstyearoflifebutcanremainundetecteduntiladulthood.Inguinalherniasareupto10timesmoremorecommoninmenthanwomenandoneinfourmenwilldevelopaherniaatsomepointintheirlife.SymptomsShareonPinterestSymptomsofaninguinalherniaincludepain,burning,orachinginthegroin.Symptomscandevelopgraduallyorstartsuddenly.Sometimesapersonisunawareofanysymptoms,andtheinguinalherniaisdetectedduringaphysicalexamination.However,apersonwilloftenhavesymptoms,whichcaninclude:groinpainabulgethatcomesandgoesburningorachingsensationinthegroinheavyordraggingsensationinthegroin,especiallyattheendofadayorafterprolongedactivityswollenorenlargedscrotuminboysandmenActivitiesthatcausestrainontheabdomencanalsomakethebulgeincrease.Theseinclude:coughingliftingobjectsstrainingforanyreasonsexercising

Indirect inguinal hernias arise lateral and superior to the course of the inferior epigastric vessels, lateral to Hesselbach's triangle, and then protrude ...×ArticlesLogInCasesSignUpCoursesQuizDonateAbout×MenuSearchADVERTISEMENT:Radiopaediaisfreethankstooursupportersandadvertisers.BecomeaGoldSupporterandseenoads.ArticlesCasesCoursesLogInLoginSignup{"url":"/signup-modal-props.json?lang=us\u0026email="}ArticlesCasesCoursesQuizAboutRecentEditsGoad-freeSearchIndirectinguinalherniaDrSonamVadera◉andAssocProfFrankGaillard◉◈etal.Indirectinguinalhernias (alternativeplural:herniae),atypeofgroinherniation, arethemostcommontypeofabdominalhernia.Onthispage:Article:EpidemiologyPathologyTreatmentandprognosisDifferentialdiagnosisRelatedarticlesReferencesImages:CasesandfiguresEpidemiologyItisfivetimesmorecommonthanadirectinguinalhernia,andisseventimesmorefrequentinmales,duetothepersistenceoftheprocessusvaginalisduringtesticulardescent. Inchildren,thevastmajorityofinguinalherniasareindirect. PathologyIndirectinguinalherniasariselateralandsuperiortothecourseoftheinferiorepigastricvessels,lateraltoHesselbach'striangle,andthenprotrudethroughthedeeporinternalinguinalringintotheinguinalcanal.Anindirectherniaenterstheinguinalcanalatthedeepring,lateraltotheinferiorepigastricvessels.Itpassesinferomediallytoemergeviathesuperficialringand,iflargeenough,extendintothescrotum.Genderdifferencesmales:theyenterthecanalanteriortothespermaticcordandmayextendthroughtheexternalinguinalringintothescrotumfemales:theytendtofollowtheroundligamentintothelabiamajoraContentsContentsmayincludemesentericfat(mostcommon),peritonealfluid,smallbowelloops,mobilecolonsegments(sigmoid,cecum,appendix).Manyarelongstandingandasymptomatic,althoughthesheersizecanbecomeburdensome.TreatmentandprognosisComplicationsinclude:incarcerationthemostcommoncomplicationassociatedwithinguinalhernias,theincidencecouldbeashighas30%forinfantsyoungerthan2monthsstrangulationwithbowelischemiaandperforationintestinalobstructionDifferentialdia

If the hernia protrudes despite occlusion of the deep inguinal ring, this indicates a direct hernia, whereas if the hernia does not protrude, this indicates an ...TheBasicsTheatreBasicsTheatreEtiquetteHandWashingScrubbing,Gowning,andGlovingAssistinginTheatreTheOperationNoteSurgicalSafetySurgicalEquipmentSutureMaterialsSurgicalInstrumentsDiathermySurgicalSkillsKnotTyingSuturingInfiltrationofLocalAnaestheticDrainInsertionAbscessDrainageSkinLesionExcisionWoundHealingDamagetoLocalStructuresAcuteInflammationChronicInflammationWoundHealingBasicWoundManagementClinicalSkillsVenepunctureCannulationBloodCulturesIntravenousInfusionsFemaleCatheterisationMaleCatheterisationPeri-OpCarePeri-OperativeCarePre-OpAssessmentPre-OpManagementFluidManagementBloodProductsPerioperativeNutritionEnhancedRecoveryDayCaseSurgeryGeneralHaemorrhageSepsisPainNausea&VomitingPyrexiaDeliriumCardio-RespiratoryAtelectasisPneumoniaDVT&PEARDSGastrointestinalAnastomoticLeakPost-OpIleusBowelAdhesionsIncisionalHerniaConstipationUrinaryAcuteKidneyInjuryUrinaryRetentionUrinaryTractInfectionEndocrineHypoglycaemiaHyperkalaemiaHypokalaemiaHypernatremiaHyponatraemiaSkinSurgicalSiteInfectionWoundDehiscenceKeloidsOntheWardsInitialAssessmentTheGeneralApproachA-EAssessmentReferringaPatientIVFluidManagementPost-OpFeverPost-OpPainExaminationsCardio-RespiratoryCardiovascularRespiratoryGastrointestinalAbdominalGroinStomaDigitalRectalVascularPeripheralVascularPeripheralVenousNeurologicalCranialNervesPeripheralNeurologicalEndocrineDiabeticFootThyroidGlandOrthopaedicShoulderHandSpineHipKneeENTEarNoseOralCavityNeckLumpsBPPVOtherBreastRenalCertifyingDeathGeneralPresentationsAcuteAbdomenAbdominalIncisionsHaematemesisDysphagiaBowelObstructionBowelPerforationMelenaRectalBleedingOesophagusGORDOesophagealCancerOesophagealTearsMotilityDisordersStomachHiatusHerniaPepticUlcerDiseaseGastricCancerSmallBowelInguinalHerniaFemoralHerniaOtherHerniasGastroenteritisAngiodysplasiaSmallBowelTumoursNeuroendocrineTumoursLargeBowelAcuteAppendiciti

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 ...XAboutAboutDr.WilliamsAboutTheStaffResourcesInguinalHerniaPost-opLaparoscopicCholecystectomyPost-opLDHRandNissenPost-opPostOperativeStretchingPerioperativeNutritionSurgery-WhattoExpectatEachStepConditionsAcidRefluxBarrett'sEsophagusGallbladderDiseaseGallstonesHeartburnHerniaDirectInguinalHerniaEpigastricHerniaFemoralHerniaIncisionalHerniaIndirectInguinalHerniaSportsHerniaUmbilicalHerniaLipomaSkinProblems&MolesVaricoseVeinsProceduresGeneralSurgeryBowelSurgeryGallbladderSurgeryGallbladderSymptomsGallbladderRemovalGallbladderAttackGallbladderLocationGallstonesHerniaRepairHiatalHernia/GERDSurgeryGERDRiskFactorsGERDSymptomsSpleenSurgeryLaparoscopicSplenectomySpleenTreatmentRoboticSurgeryBlogsContactReviewUs|LoginUnderstandingIndirectInguinalHerniaCallOurOfficeSubmitanOnlineRequestUnderstandingGroinHernias:InguinalandFemoralHerniasGroinherniasareverycommonandoneofthemostfrequentproblemsweseeeverydayinclinic.Femoralhernias,direct,andindirectinguinalherniasaregroinherniasastheyarelocatedatjustabovethejunctionofthelegandtheabdomen.Weseeatleast10menwithagroinherniaforeveryfemalethatweseewithagroinhernia.Femoralherniasarenotascommonasindirectordirectinguinalhernias,butweseemorewomenthathavefemoralhernias.IndirectInguinalHerniaIndirectinguinalherniasarethemostcommontypeofgroinhernia.Indirectinguinalherniasoccurwhenabdominalcontentsuchasfatorbowelpushesdownalongtheinguinalcanal.Whatistheinguinalcanal?Itisthetunnelthroughwhichaman’svasdeferensandtesticularvesselstraveldownintothescrotum.Thesametunnelexistsinfemales,butinsteadcontainstheroundligament,whichisasuspensoryligamentfortheuterus.Theexistenceofthistunnel,whichtakesstructuresfrominsidethepelvisdownwardsisanaturalweakpointinouranatomy.Menaremuchmorelikelytodevelopindirectinguinalherniasthanwomenandthereasonforthishasalwaysbeenassumedthatthetunnelhadtowidenenoughtoallo

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HealthlineSubscribeWhatYouShouldKnowAboutDirectversusIndirectHerniasMedicallyreviewedbySuzanneFalck,M.D.,FACP—WrittenbyJamesRoland—UpdatedonOctober14,2017SymptomsCausesRiskfactorsDiagnosisTreatmentOutlookPreventionOverviewAherniaoccurswhenanorganorinternalbodypartpushesthroughthetissuethatusuallysurroundsandprotectsit.Aherniacandevelopinvariousplacesintheabdomen.Inguinalherniasarethemostcommontypeofhernia.Theyformwhenthere’sathinspotonyourabdominalwall.Learnmore:Hernia»Aninguinalherniacanbelabeled“direct”or“indirect”dependingonhowandwhenitforms.Chancesare,theageandgenderofthepersonwiththeherniawillhavealottodowithwhichtypeitis.SymptomsBothanindirectanddirectinguinalherniacancauseabulgeoneithersideofthegroiniftheherniaislargeenough.Thebulgeisusuallymostnoticeablewhenstandingandwhenstrainingorcoughing.Inmanycases,herniascausenopainuntiltheygetlarger.Inmen,painmaybefeltinthescrotumiftheintestinepushesdownintothatregion.Anindirectherniausuallyfirstoccursininfancy.That’sbecauseit’softenacongenitalcondition.Anindirectherniainaninfantmaybemostnoticeablewhenthebabyiscrying.Adirectherniaalmostalwaysdevelopsinadulthood,usuallylaterinlife,unlesstheproblemistheresultofaspecificinjury.CausesAdirectherniaisusuallycausedwhenthewalloftheabdominalmusclesbecomesweak.Thatallowsaportionoftheintestinetopushthroughtheabdominalwall.Thisweakeningcandevelopovertime,duetoeverydayactivitiesandaging.Insomecases,improperlyliftingsomethingheavycanputextrapressureonthosemuscles,allowingthemtoweakenandtear.Anindirectherniaisnotcausedbyweakenedorinjuredabdominalmuscles.Instead,itoccurswhenanareaofabdominalmuscletissuecalledtheinguinalringfailstocloseupwhileababyisinthemother’swomb.Inboys,theringallowsthetesticlestodropintothescrotum,andthenusuallycloses.Whenitremainsopen,apartoftheintestinecanalsopushthroughit.RiskfactorsRiskfactorsfordirectherniasinclude:beingaman,thoughwomencanalsodevelopherniashavingafamilyhistoryofherniassmokinghavingaconditionthatleadstochroniccoughing,suchascysticfibrosishavi