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Topic: Direct inguinal hernia

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	Inguinal hernia - Wikipedia, the free encyclopedia
		Inguinal hernias are protrusions of abdominal cavity contents through an area of the abdominal wall, commonly referred to as the groin, and known in anatomic language as the inguinal area.
		An indirect inguinal hernia is ultimately the result of the failure of embryonic closure of the internal inguinal ring after passage through it of the testicle and the trailing supply of blood vessels and nerves which make up the spermatic cord.
		A direct inguinal hernia protrudes through a weakened area in the back of the inguinal canal, entering the inguinal triangle, an area defined by rectus abdominis muscle, the inguinal ligament and the inferior epigastric artery.
	en.wikipedia.org /wiki/Inguinal_hernia (765 words)

	eMedicine - Abdominal Hernias : Article by Eustace S Golladay, MD
		An indirect inguinal hernia is a congenital hernia regardless of the patient's age, and it occurs because of protrusion of an abdominal viscus into the open processus vaginalis.
		The retrovascular hernia sac descends in the posterior sheath of the femoral vein.
		The hernia sac is ligated distal to the fallopian tube and divided.
	www.emedicine.com /MED/topic2703.htm (10870 words)

	Clinical Case - Inguinal Region (Site not responding. Last check: 2007-10-21)
		This hernia is an indirect inguinal hernia because it traverses the inguinal canal.
		The deep inguinal ring persists as a defect in the transversalis fascia formed as the gonadal structures descended and the superficial inguinal ring is formed by the lateral one-half of the pubic crest and the lateral and medial crura of the external abdominal oblique aponeurosis.
		The spermatic cord passes through the inguinal canal in the male and the round ligament of the uterus traverses the canal in the female.
	anatomy.med.umich.edu /abdomen/inguinal_case.html (897 words)

	hernias
		This canal is present in both sexes: in the female it is narrow and conveys the round ligament of the uterus (a remnant of the gubernaculum) as it extends from the uterus to the labium majus.
		Inguinal hernia is more likely to happen in males, partly because the presence of the larger inguinal canal produces a potential weak point in the anterior abdominal wall.
		Alternatively, in the case of a direct inguinal hernia the loop of intestine may push through the abdominal wall slightly more medially where the wall is less strong and then emerge at the outside via the superficial ring (diagram).
	www.nurseminerva.co.uk /hernias.htm (2943 words)

	Hernia
		Inguinal hernias are hernias involving a defect in the inguinal canal (in the lower abdomen).
		Indirect inguinal hernias are more common in the young as it is due to a congenital defect in the processes vaginalis whilst direct inguinal hernias are more common in the elderly as they are cause by mechanical breakdown of the fascia over many years.
		It is called "inguinal" because the intestines push through a weak spot in the inguinal canal, which is a triangle-shaped opening between layers of abdominal muscle near the groin.
	www.brainyencyclopedia.com /encyclopedia/h/he/hernia.html (417 words)

	hernia
		Bubonocele is a type of inguinal hernia which is limited in its extent to the inguinal canal.
		Undetached strip of the external oblique aponeurosis is sutured between the muscle arch and the inguinal ligament to give a strong posterior wall which is kept physiologically dynamic by the additional muscle strength provided by the external oblique muscle to the weakened muscle arch.
		Maydl's hernia - hernia - en - W --- W type of intestinal loop herniates - may strangulate with the gangrenous part being inside the abdomen - or may be reduced into the abdomen without noticing the gangrenous part.
	www.geocities.com /desarda/hernia.htm (1273 words)

	► Inguinal hernia (Site not responding. Last check: 2007-10-21)
		An inguinal hernia is when a loop of intestine enters the inguinal canal, a tubular passage through the lower layers of the abdominal wall.
		A direct inguinal hernia creates a bulge in the groin area, and an indirect hernia descends into the scrotum.
		Inguinal hernias are also seen in infants and children.
	www.umm.edu /ency/article/000960.htm (296 words)

	Laparoscopic Inguinal Hernia Repair (Site not responding. Last check: 2007-10-21)
		A hernia occurs when part of an organ (usually the intestine) protrudes through a weak point or tear in the thin muscular wall that holds the abdominal organs in place.
		At the University of Maryland Hernia Center, patients receive the most advanced surgical care from doctors who are leaders in the field of hernia repair.
		UM Hernia Center surgeons Scott Roth M.D., and Adrian Park, M.D. -- a leading authority on the laparoscopic treatment of abdominal wall hernias -- both have a tremendous amount of experience with hernia repair.
	www.umm.edu /general_surgery/lap_inguinal_hernia.html (573 words)

	Medical Library Search
		Differentiation between a direct and an indirect inguinal hernia is difficult and clinically unimportant as the operative approach is unchanged by the distinction.
		Hesselbach's triangle consists of an area of the inguinal floor bounded laterally by the sheath of the inferior epigastric artery, caudally by the inguinal ligament, and medially by the lateral margin of the rectus sheath.
		In a direct hernia, the direct sac is inverted and imbricated using a nonabsorbable suture to flatten the posterior wall of the inguinal canal.
	www.medem.com /search/article_display.cfm?path=n:&mstr=/ZZZCDIT96JC.html&soc=SCMA&srch_typ=NAV_SERCH (4902 words)

	Dr. Koop - Hernia- Health Encyclopedia and Reference
		A hernia is an abnormal protrusion, or bulging out, of part of an organ through the tissues that normally contain it.
		Depending on the nature of the protruding organ and the solidity of the structure through which it is protruding, a hernia may cause complications that are medically dangerous.
		Hernias tend to run in families, and can be caused by such things as coughing, straining during elimination, lifting heavy objects, accumulation of fluid in the abdominal cavity, and obesity.
	www.drkoop.com /encyclopedia/43/305.html (794 words)

	Inguinal Hernia (Site not responding. Last check: 2007-10-21)
		An inguinal hernia is a bulge of soft tissue through a weak spot in the abdominal wall in the groin area.
		Inguinal hernias can occur in one or both sides of the groin area at the same time or at different times.
		A direct inguinal hernia occurs when a weak spot develops in the lower abdominal muscles due to the normal stresses of living and aging.
	www.dhmc.org /inguinal_hernia.cfm (383 words)

	Oceanic - Around Town Hawaii - Leisure - Reviews - Healing Hands by Jaymie Nishimura - Detection and Treatment of ...
		Inguinal hernias occur when a sac containing a portion of the intestines pushes either directly outward into the abdominal wall (direct hernia), or into the inguinal canal (indirect hernia).
		The direct inguinal hernia usually results from weakening of the abdominal muscles, and may be brought on by obesity, heavy lifting, chronic coughing and straining.
		Hernias are usually diagnosed by a physician by palpation and clinical diagnostic tests such as an ultrasound and/or a CT scan.
	www.hawaii.rr.com /leisure/reviews/jaymie_nishimura/2005-03_datoihernias.htm (1176 words)

	Inguinal Hernia
		A hernia is a weakness in the abdominal muscles which allows fatty tissue or an organ such as the intestines to protrude through the wake area.
		A Direct Inguinal Hernia is less common as it occurs near the internal ring instead of within the ring.
		The position of inguinal hernia is just above the penis on either side near the joining area of the abdomen and the pelvic region.
	www.thedoctorsearch.com /hernia_inguinal.asp (446 words)

	Understanding Hernia Surgery (Site not responding. Last check: 2007-10-21)
		Congenital hernias result from a weakness in your abdominal wall that is present at birth.
		Direct inguinal hernias result from a weakness that develops in the groin area near the internal ring.
		Children's hernias result from a weakness in the abdominal wall that is present at birth.
	www.lubbocksurgical.com /understanding_hernia_surgery.htm (2560 words)

	Inguinal Hernia - Inguinal Hernias Information, Inguinal Hernia repair, surgery,symptoms,picture
		Inguinal hernias in children are almost exclusively indirect type.
		The direct hernia protrudes through the posterior wall of the inguinal canal, i.e., medial to deep inferior epigastric vessels, destroying or stretching the transversalis fascia.
		The embryology of indirect inguinal hernia is as follows: the duct descending to the testicle is a small offshoot of the great peritoneal sac in the lower abdomen.
	diseasesatoz.com /inguinal-hernias.htm (1156 words)

	HealthWise KnowledgeBase
		A direct inguinal hernia occurs when a weak spot develops in the lower abdominal muscles from the normal stresses of living and aging.
		Indirect hernias are more common in men because the testicles (when they descend) and their blood vessels pass through the inguinal canal, making the opening from the abdomen less likely to close completely.
		The cause of a direct inguinal hernia often is unknown.
	www.pamf.org /teen/healthinfo/index.cfm?section=healthinfo&page=article&sgml_id=hw170907 (1033 words)

	MedlinePlus Medical Encyclopedia: Hernia repair
		Hernia repair involves surgery to correct an abnormal bulging of internal organs, often the intestine, through a weakness in a muscular wall (hernia).
		Hernias in children are rarely caused by an injury or tearing of tissue and are usually the result of incomplete closure in the groin (inguinal hernia) or around the umbilicus (umbilical hernia).
		Inguinal hernias account for the majority of all hernias and are more common in men than women-- about 25% of men and 2% of women develop an inguinal hernia in their lifetime.
	www.nlm.nih.gov /medlineplus/ency/article/002940.htm (600 words)

	Encyclopaedia Topic : Hernia, inguinal, Section : Introduction
		An inguinal hernia occurs when a loop of bowel pushes through a weakness in the inguinal canal, which is a triangle-shaped opening between layers of abdominal muscle near the groin.
		The hernia usually appears as a swelling in the groin or enlargement of the scrotum, which may or may not be painful and often disappears when lying down.
		An epigastric hernia is caused by a weakness in the upper abdomen and the intestine bulges between the breastbone and the navel.
	www.nhsdirect.nhs.uk /en.asp?TopicID=238 (265 words)

	Inguinal Hernia
		Definition: A condition in which a loop of intestine enters the inguinal canal, a tubular passage through the lower layers of the abdominal wall.
		A hernia occurs when part of an organ protrudes through a weak point or tear in the thin muscular wall that holds the abdominal organs in place.
		There are no medications to treat inguinal hernias, however, medications may be prescribed to manage the pain associated with surgical repair.
	w3.ouhsc.edu /surgery/Inguinal_Hernia.asp (452 words)

	Genesis Health System - Quick Disease Information - Inguinal Hernia (Site not responding. Last check: 2007-10-21)
		In women, the hernia may be felt in the labia (outer folds of skin near the vagina).
		Inguinal hernias usually happen because of a hole or a weak area in the muscles of the abdominal wall.
		The most common sign of an inguinal hernia is a new bulge or lump in the groin or lower abdominal area.
	www.genesishealth.com /micromedex/quickdisease/nd7163g.aspx (1358 words)

	[No title]
		The veteran's service-connected hernia disability is manifested by complaints of groin pain, by several well-healed surgical scars and by a small recurrent inguinal hernia that reduces spontaneously and does not require a support device.
		The diagnoses were recurrent right femoral hernia, left femoral hernia, and bilateral indirect inguinal hernias, and he was given a medical discharge due to his disabilities.
		The hernia is evident during coughing or straining, and it reduces spontaneously.
	www.va.gov /vetapp/files1/9400133.txt (2679 words)

	Inguinal Hernia -- Topic Overview
		An inguinal hernia occurs when tissue or part of the intestine pushes through a weak spot in the abdominal wall in the groin area, causing a bulge in the groin or scrotum.
		An indirect inguinal hernia is caused by an opening in the inguinal canal that does not close as it should before birth.
		Indirect hernias are more common in men because when the testicles descend through the inguinal canal, the opening from the abdomen may not close completely.
	my.webmd.com /hw/health_guide_atoz/hw170909.asp (157 words)

	Surviving Open Inguinal Hernia Repair Surgery
		WebMD explains the difference between indirect and direct inguinal hernias: “A direct inguinal hernia occurs when a weak spot develops in the lower abdominal muscles from the normal stresses of living and aging.
		L said that she recommends open (not laparoscopic surgery) for hernias unless the patient has bilateral or recurrent hernias, but she said that if I wanted laparoscopic surgery for any reason, she could put me in touch with a laparoscopic surgeon (but that she doesn’t perform laparoscopic surgery).
		She told me that during the surgery, she would find the inguinal ring, push the hernia in, ligate the hernia sac, and use stitches or a mesh patch to close up the opening.
	www.andilipman.com /hernia.html (6811 words)

	Written Quiz - Inguinal Region
		Surgery is indicated and during the surgery the surgeon opens the inguinal region and finds a hernial sac with a small knuckle of intestine projecting through the abdominal wall just above the inguinal ligament and lateral to the inferior epigastric vessels.
		A patient presents with a hernia that is palpable at the superficial inguinal ring.
		An elderly patient with a large indirect inguinal hernia came to your clinic complaining of pain in the scrotum.
	www.med.umich.edu /lrc/coursepages/M1/anatomy/html/quizzes/written/session12.html (583 words)

	ENLmedical.com: Conditions And Concerns: Medical Encyclopedia: Inguinal hernia
		Usually, there is no apparent cause of a hernia, although it is commonly thought to be the result of lifting a heavy object.
		Hernia repair is performed as an outpatient procedure using local or general anesthesia.
		Go to the emergency room or call the local emergency number (such as 911) if a hernia cannot be reduced or pushed back into the abdomen by gentle pressure, or if nausea and vomiting other new symptoms develop in a person with a hernia.
	www.enlmedical.com /article/000960.htm (432 words)

	INGUINAL HERNIA (Site not responding. Last check: 2007-10-21)
		Inguinal hernias happen most often in males, but females can have them also.
		You may never know what caused your inguinal hernia.
		If your hernia becomes strangulated, you may feel very bad pain.
	www.medformation.com /ac/mm_qdis.nsf/qd/nd7163g.htm (1328 words)

	Hernia (Site not responding. Last check: 2007-10-21)
		Inguinal hernia -- appears as a bulge in the groin or scrotum.
		Femoral hernia -- appears as a bulge in the upper thigh.
		Hernias can be seen in infants and children.
	www.humed.com /humc_ency/ency/article/000960.htm (265 words)

	PakMediNet - View Abstract
		This is a study carried out mostly in Surgical Units of Mayo Hospital, Lahore from 1985 to 2000 to see the outcome of mesh repair in inguinal hernia.
		The study included 27 patients with inguinal hernia in which 6 patients had indirect and 21 patients had, direct inguinal hernia.
		Of the 21 patients with direct hernia 12 had unilateral direct hernia, 7 had hilateral direct hernia and one had unilateral recurrent direct inguinal hernia and one had hilateral recurrent direct inguinal hernia.
	www.pakmedinet.com /view.php?id=190 (257 words)

	eMedicine - Abdominal Hernias : Article Excerpt by: Eustace S Golladay, MD
		Please click here to view the full topic text: Abdominal Hernias
		Omphalos was the center stone in the Temple of Apollo at Delphi.
		The umbilical vessels insert onto the sac and traverse serpiginously to the abdominal wall on the left superior aspect of the sac.
	www.emedicine.com /med/byname/abdominal-hernias.htm (610 words)

	Inguinal Hernia Repairs - Medical Illustration
		Multi-step surgery showing repair of herniated sac in the inguinal (groin) region.
		Inguinal Hernia Repair with Post-operative Complications - exh6033
		Nucleus Medical Art creates and/or licenses medical products including medical illustrations, medical animations, medical drawings, medical pictures, medical graphics, medical posters, anatomical models, and interactive presentations for use in publishing, pharmaceutical and medical device marketing, patient education, patient informed consent programs, hospital safety awareness, sales training, merchandising, and other uses.
	catalog.nucleusinc.com /generateexhibit.php?ID=7229 (140 words)

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