The most common type of hernia in men and women (Figure III-3-6):
• Direct: emerges through the posterior wall of the inguinal canal medial to the inferior epigastric vessels.
• Indirect: passes through the deep ring lateral to the inferior epigastric vessels, courses through the inguinal canal. A persistent process vaginalis often results in a congenital indirect inguinal hernia.
Both direct and indirect inguinal hernias pass through the superficial inguinal ring.
Only indirect inguinal hernias pass through the deep inguinal ring.
Direct inguinal hernias usually pass through the inguinal triangle:
Lateral border: inferior epigastric vessels Medial border: rectus femoris Inferior border: inguinal ligament
Figure III-3-6. Inguinal Hernia
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