indirect inguinal hernia

Question 1

what is the origin and passage of direct inguinal hernia?

Answer 1

1. origin -

• enter the deep inguinal ring
• follow the spermatic chord through the inguinal canal
• exit the superficial inguinal ring

2.

Question 2

where are the inferior epigastric vessels in relation?

Answer 2

hernia is lateral to inferior epigastric vessels

Question 3

what is the cause of indirect hernia?

Answer 3

congenital - persistence of processus vaginialis

Question 4

two features of indirect hernia caused by passage through internal inguinal ring?

Answer 4

narrow internal ring means;

1. does not reduce immediately - takes time for hernia to pass through narrow opening
2. increases possibility of strangulation at the internal inguinal ring

Question 5

how can indirect hernia be reduced?

Answer 5

1. pressure over the internal inguinal ring

2. 1 - 2 cm above the femoral pulse