What type of hernia protrudes through the transversalis fascia?
A direct inguinal hernia usually occurs as a consequence of a defect or weakness in the transversalis fascia area of the Hesselbach triangle.
How do you describe 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.
Why is it called direct inguinal hernia?
Inguinal hernias may be direct or indirect. The difference is in the anatomical location. Direct hernias protrude through the posterior (back) wall of the inguinal canal. Indirect hernias protrude through the inguinal ring.
How can you tell if a hernia is direct or indirect?
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 is the sac of a direct inguinal hernia?
This type of hernia is termed direct as the hernial sac directly protrudes through the inguinal wall, in contrast to indirect inguinal herniae which arise through the deep ring and enter the inguinal canal.
Which is more common direct or indirect hernia?
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. In children, the vast majority of inguinal hernias are indirect.
What is littre hernia?
Littre hernia is the protrusion of a Meckel diverticulum through a potential abdominal opening. Alexis de Littre (1700) reported ileal diverticula and attributed them to traction. August Gottlieb Richter (1785) defined them as preformed, and Johann Friedrich Meckel (1809) postulated their embryologic origin.