What is a direct inguinal hernia?
Direct Inguinal hernias are the second most common type of groin hernia. Like all other types of hernias, direct inguinal hernias involve a “defect” or weak space which has thinned out in the abdominal wall, in this case the lower abdominal wall, the groin.
What is the difference between direct and indirect inguinal 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.
How do you diagnose a direct inguinal hernia?
A physical exam is usually all that’s needed to diagnose an inguinal hernia. Your doctor will check for a bulge in the groin area. Because standing and coughing can make a hernia more prominent, you’ll likely be asked to stand and cough or strain.
How can you tell the difference between an indirect and direct hernia?
If the hernia comes from superolateral to inferomedial and strikes the distal tip of the finger, it most likely is an indirect hernia. If the hernia strikes the pad of the finger from deep to superficial, it is more likely to be a direct hernia.
What type of hernia involves a direct and indirect inguinal hernia?
Pantaloon hernia, otherwise known as a saddlebag hernia, is a combination of a direct and indirect hernia. The hernial sac pushes through both sides of the inferior epigastric vessels.
How can you tell if a hernia is direct or indirect?
How is direct inguinal hernia diagnosed?
How do you fix a direct inguinal hernia?
When is surgery needed? Inguinal hernias can be repaired using surgery to push the bulge back into place and strengthen the weakness in the abdominal wall. The operation is usually recommended if you have a hernia that causes pain, severe or persistent symptoms, or if any serious complications develop.
Which is worse direct or indirect inguinal hernia?
An indirect hernia may also cause bowel obstruction if it slips into the inguinal ring and becomes swollen in the abdomen. This condition can worsen into a phase known as “strangulation,” which can affect blood flow in the intestines. A direct hernia is less likely to cause strangulation of the bowel.
