direct inguinal hernia

Question 1

what is a direct inguinal hernia?

Answer 1

hernia pushes directly forwards through the posterior wall of the inguinal canal

Question 2

Describe the passage of the direct inguinal hernia?

Answer 2

1. does not enter inguinal canal - pushes forward from posterior wall
2. exit via the superficial inguinal ring

Question 3

where is the hernia in relation to inferior epigastric vessels?

Answer 3

hernia is medial to the inferior epigastric vessels

Question 4

how is direct hernia differentiated from an indirect hernia?

Answer 4

1. rarely strangulates due to large opening

2. spontaneously reduces lying down

Question 5

What causes direct inguinal hernia?

Answer 5

acquired causes - weakness in abdominal wall/surgery/ raised abdominal pressure

Question 6

what is the area where direct inguinal hernia develops called?

Answer 6

1. Hasselbach’s triangle

Question 7

content of direct hernia?

Answer 7

retoperiotoneal fat

Question 8

what is a ‘Pantaloon Hernia’

Answer 8

1. Direct and indirect hernia occur at the same time
2. straddle the inferior epigastric artery
3. aka - sliding hernia