Indirect inguinal hernias are usually congenital, forming a sac in the core of the spermatic cord covered by the internal spermatic, cremasteric, and external spermatic fasciae 1. Clinical presentation includes abdominal discomfort and a palpable retractable mass. An inguinal hernia can be labeled direct or indirect depending on how and when it forms. An inguinal hernia occurs when either the omentum, the large or small intestine, or the bladder protrudes into the inguinal canal. The surgical treatment of hernia requires an extensive knowledge and technical ability. An indirect inguinal hernia is a congenital lesion. Often it gets worse throughout the day and improves when lying down. 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. The present book is designed to focus on specific topics and problems which a general surgeon dealing with groin hernia is very likely to face during his practice. Indirect inguinal hernia an indirect inguinal hernia occurs when any intraabdominal structure protrudes through the deep inguinal ring entering the inguinal canal. An inguinal hernia is a protrusion of abdominalcavity contents through the inguinal canal. Part of the intestine bulges into the inguinal canalthe channel through which testes drop into the scrotum before birth. Hernia inguinal directa e indirecta hernia inguinal. Little is known about the epidemiology of inguinal hernia in resource poor settings, however the prevalence of inguinal hernia in tanzanian adults is 5.
Indirect inguinal hernia synonyms, indirect inguinal hernia pronunciation, indirect inguinal hernia translation, english dictionary definition of indirect inguinal hernia. Symptoms of an inguinal hernia usually appear gradually and include a bulge in the groin, discomfort or sharp pain, a. An inguinal hernia can occur any time from infancy to adulthood and is much more common in males than females. In men the descent of the testes at birth has left the abdominal wall in this region more prone to weakness and. Find out how to tell a direct hernia from an indirect hernia. Take advantage of the quiz and worksheet, assessing your understanding of direct vs. Right inguinal swelling and pain in abdomen since 12 hrs.
Una hernia puede desarrollarse en varios lugares del abdomen. The consensus is that surger y is the treatment of choice f or inguinal hernia, although few goodquality studies ha v e compared surger y with e xpectant management. Indirect inguinal hernia an overview sciencedirect topics. Hernias inguinales directas e indirectas, femorales o crurales y epigastricas 1. Hernias inguinales directas e indirectas, femorales o crurales y epi. Indirect inguinal hernia radiology reference article. This may include pain or discomfort especially with coughing, exercise, or bowel movements. A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides. We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services. They occur at any age from the newborn to the elderly. Though both types of hernias are inguinal hernias, an indirect hernia is caused by a birth defect while a direct hernia is caused by muscle weakness in the abdominal wall. It comprises about half of all inguinal hernias and is much more frequent among males. Symptoms are present in about 66% of affected people. Inguinal hernias are the most common type encountered in surgical practice approx.
Direct and indirect hernias are the two types of inguinal hernia, and they have different causes. Lichtensteins tension free bilateral inguinal hernioplasty is a real possibility for treating patients. Indirect inguinal hernia definition of indirect inguinal. Indirect inguinal hernias are the most common type of abdominal hernias. Acquired inguinal hernia had a prevalence of 1% among horses presented for colic in one multicenter study. Inguinal hernias account for 75% of abdominal wall hernias, with a lifetime risk of 27% in men and 3% in women. In an indirect inguinal hernia, the sac protrudes through the internal inguinal ring into the inguinal canal and, in males, may descend into the scrotum. Request pdf on dec 31, 2006, emanuele lo menzo and others published hernias inguinales directas e indirectas find, read and cite all the. A bulging area may occur that becomes larger when bearing. Hernias inguinales directas e indirectas, femorales o crurales y epigastricas.
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