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Topic: Indirect 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 or the myopectineal orifice.
		Inguinal hernias usually arise as a consequence of the descent of the testis from the abdomen into the scrotum during early fetal life.
		The most common groin hernia, the indirect inguinal hernia protrudes through the inguinal ring and is ultimately the result of the failure of embryonic closure of the internal inguinal ring after the testicle passes through it.
	en.wikipedia.org /wiki/Inguinal_hernia (1351 words)

	Inguinal Hernia Repair - Definition, Purpose, Demographics, Description, Diagnosis/Preparation, Aftercare, Risks, ...
		An inguinal hernia is an opening, weakness, or bulge in the lining tissue (peritoneum) of the abdominal wall in the groin area between the abdomen and the thigh.
		Inguinal hernia repair is performed to close or mend the weakened abdominal wall of an inquinal hernia.
		Inguinal hernia repair is usually effective, depending on the size of the hernia, how much time has gone by between its first appearance and the corrective surgery, and the underlying condition of the patient.
	www.surgeryencyclopedia.com /Fi-La/Inguinal-Hernia-Repair.html (3115 words)

	Hernia - Wikipedia, the free encyclopedia
		Inguinal hernias are further divided into the more common indirect inguinal hernia (2/3, depicted here), in which the inguinal canal is entered via a congenital weakness at its entrance (the internal inguinal ring), and the "direct" type (1/3), where the hernia contents push through a weak spot in the back wall of the inguinal canal.
		A hiatus hernia is a particular variant of this type, in which the normal passageway through which the esophagus meets the stomach (esophageal hiatus) serves as a functional "defect", allowing part of the stomach to (periodically) "herniate" into the chest.
		Hiatus hernias may be either "sliding," in which the gastroesophageal junction itself slides through the defect into the chest, or non-sliding (also known as para-esophageal), in which case the junction remains fixed while another portion of the stomach moves up through the defect.
	en.wikipedia.org /wiki/Hernia (2205 words)

	Clinical Case - Inguinal Region
		This hernia is an indirect inguinal hernia because it traverses the inguinal canal.
		Indirect inguinal hernial sacs enter the inguinal canal at the deep inguinal ring lateral to the inferior epigastric vessels.
		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.
	www.med.umich.edu /lrc/coursepages/m1/anatomy/html/gastrointestinal_system/inguinal_case.html (897 words)

	Inguinal hernia Surgery
		An indirect inguinal hernia protrudes through the inguinal ring and is ultimately the result of the failure of embryonic closure of the internal inguinal ring after passage through it of the testicleand the trailing supply of blood vessels and nerves which make up the spermatic cord.
		During surgical repair, or herniorraphy, a surgeon recognizes the "indirect" hernia by noting that the hernia sac begins lateral to the inferior epigastric vessels, indicating that it arose at the top of the inguinal canal.
		A direct inguinal hernia protrudes through a weakened area in the transversalis fascia within an anatomic region known as the medial or Hesselbach's triangle, an area defined by the edge of the rectus abdominis muscle, the inguinal ligamentand the inferior epigastric artery.
	www.lumrix.com /medical/surgery/inguinal_hernia.html (1149 words)

	Inguinal Hernia (Site not responding. Last check: 2007-10-31)
		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.
	www.luhs.org /health/kbase/htm/hw17/0907/hw170909.htm (621 words)

	DHMC \| General Surgery \| Inguinal Hernia (Site not responding. Last check: 2007-10-31)
		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.
		Indirect hernias are more common in men because the testicles (when they descend) and blood vessels pass through the inguinal canal, making the opening from the abdomen less likely to close completely.
	www.dhmc.org /inguinal_hernia.cfm (383 words)

	Indirect Inguinal Hernia (Site not responding. Last check: 2007-10-31)
		Inguinal hernias in children almost always result from a persistence of the patent processus vaginalis.
		The term 'indirect' refers to the fact that the bowel and peritoneal protrusion don't herniate directly through a weakness in the abdominal musculature.
		Direct inguinal hernias occur because of weakness in the floor of the inguinal canal.
	www.meddean.luc.edu /lumen/MedEd/urology/inghrnia.htm (177 words)

	Inguinal hernia
		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.
		During surgical repair, or herniorraphy, a surgeon recognizes the "indirect" hernia by noting that its bulge begins lateral to the inferior epigastric vessels, indicating that it arose at the top of the inguinal canal.
	www.mrsci.com /Injury/Inguinal_hernia.php (729 words)

	Medical Library Search
		Inguinal herniation, presenting as a bulge in the groin, was first memorialized in stone by the ancient Greeks and was mentioned in an Egyptian papyrus from 1500 BC.
		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.
	www.medem.com /search/article_display.cfm?path=n:&mstr=/ZZZCDIT96JC.html&soc=SCMA&srch_typ=NAV_SERCH (4902 words)

	eMedicine - Pediatric Hernias : Article Excerpt by: Andre Hebra, MD
		Inguinal hernia is a type of ventral hernia that occurs when an intra-abdominal structure, such as bowel or omentum, protrudes through a defect in the abdominal wall.
		Because inguinal hernias are common, every clinician must be well versed in the subject and able to provide optimal care to patients and their families, especially since hernias can be organ or life threatening if not managed expeditiously.
		The descent of the testes through the inguinal canal is thought to be regulated by both androgenic hormones produced by the fetal testis and mechanical factors resulting from increased abdominal pressure.
	www.emedicine.com /ped/byname/pediatric-hernias.htm (648 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).
		Indirect inguinal hernia: Indirect hernias occur nearly twice as often as direct hernias and are most often seen in infants less than 1 year old and in males ages 16-20 years.
		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)

	HERNIA TERMS and DEFINITIONs
		A HERNIA is a protrusion of an internal organ or part of an organ through a tear, hole or defect in the wall of a body cavity (ie the abdominal wall muscle).
		Hernias may occur commonly in such areas as the lower abdomen or groin areas (Inguinal Hernia), at the region around the navel (Umbilical Hernia), or even through a prior surgical incision (Incisional Hernia).
		Hernias differ from patient to patient, and we firmly believe that any given single mesh system or manufacturer is not appropriate for effective repair of all hernias.
	hernia.tripod.com /vocab2.html (2133 words)

	Inguinal hernia
		A hernia is a lump that results from a part of the intestine (bowel) slipping through a weakness in the abdominal wall.
		The inguinal ligament is a tight band located between the thigh and the stomach and there are several weak spots along it.
		The operation for a groin hernia is one of the commonest surgical procedures.
	www.netdoctor.co.uk /diseases/facts/groinhernia.htm (810 words)

	Medem: Medical Library: The Causes and Surgical Treatment of Abdominal Hernia
		An indirect inguinal hernia can be the result of an inherited weakness at the internal ring or one that occurs later in life.
		A femoral hernia occurs in the area between the abdomen and the thigh, and appears as a bulge on the upper thigh.
		Hernia repair surgery is often done on an outpatient basis, meaning that it is possible to return home on the same day of the surgery.
	www.medem.com /medlb/article_detaillb.cfm?article_ID=ZZZESG4TWAC&sub_cat=195 (2088 words)

	Groin hernia
		Hernia may sometimes be confused with other causes of groin swellings, but the main problem in diagnosis is differentiating between different types of hernia or being unable to demonstrate a swelling described by a patient.
		Specialist independently-funded hernia centres usually do all of their surgery on a day-care basis,(35),(36) but it may be that they do not have any frail, elderly customers without social support.
		As with inguinal hernia, the percentage of operations performed as day cases has increased (Figure 8), although femoral hernia operations are much less likely to be performed as day cases than are inguinal hernia, in part because a much higher percentage of operations are done as emergencies.
	hcna.radcliffe-oxford.com /hernia.htm (10865 words)

	eMedicine - Abdominal Hernias : Article Excerpt by: Eustace S Golladay, MD
		Knowledge of hernias of the abdominal wall, both usual and unusual, and their mimics is an essential component of the armamentarium of the general and pediatric surgeon.
		The earliest recorded surgical efforts were to reduce the hernia through a scrotal incision, remove the sac and the testis, and close the area with sutures that spontaneously extruded.
		Other eponyms associated with inguinal hernias relate to anatomic descriptions by Camper (fascia) in 1801, Cooper (ligament) in 1804, Cloquet (hernia) in 1817, Grynfeltt (hernia) in 1866, Hesselbach (triangle) in 1814, Laugier (hernia) in 1833, Nuck (canal) in 1650-1692, Petit (hernia) in 1783, and Scarpa (fascia) in 1814.
	www.emedicine.com /med/byname/abdominal-hernias.htm (696 words)

	Inguinal Hernia in Brief
		A hernia, sometimes referred to as a rupture, is a protrusion of soft tissue such as a portion of the intestine through a weak spot in a muscle, usually in the abdominal wall.
		Men are more susceptible to this type of hernia because of a residual weakness along the path (inguinal canal) where the testicles descended into the scrotum prior to birth.
		In an indirect inguinal hernia, which occurs almost exclusively in men, the tissue protrudes farther down through the inguinal canal, entering the scrotum.
	www.hopkinshospital.org /health_info/Mens_Health/Reading/inguinal_hernia.html (641 words)

	Hernia
		Direct inguinal hernia: The direct inguinal hernia occurs slightly to the inside of the site of the indirect hernia, in a place where the abdominal wall is naturally slightly thinner.
		Spigelian hernia: This rare hernia occurs along the edge of the rectus abdominus muscle, which is several inches to the side of the middle of the abdomen.
		Epigastric hernia: Occurring between the navel and the lower part of the rib cage in the midline of the abdomen, epigastric hernias are composed usually of fatty tissue and rarely contain intestine.
	www.emedicinehealth.com /hernia/article_em.htm (846 words)

	Practice 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.
	anatomy.med.umich.edu /gastrointestinal_system/inguinal_questions.html (583 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 (6812 words)

	Inguinal Hernia - Topic Overview, Augusta, Georgia, GA
		Inguinal Hernia - Topic Overview, Augusta, Georgia, GA University Health Care System
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		Healthwise disclaims any liability for the decisions you make based on this information.
	www.universityhealth.org /14061.cfm (739 words)

	Inguinal Hernia
		Accounts for 96% groin hernias (other 4% are femoral)
		Seen medial and inferior to indirect hernia bulge
		This is one page of 32 in this chapter, 151 in this book, and 4774 in the Family Practice Notebook.
	www.fpnotebook.com /SUR54.htm (143 words)

	Inguinal Hernia Model
		This natural-sized, graphic model shows the anatomical structures of a male groin with an indirect inguinal hernia, opened in layers.
		Two diagrammatic illustrations on the base allow for a comparison of direct and indirect hernia.
		A useful model to help inform patients before undergoing surgical interventions.
	www.cheaprelief.com /shop/CHPstore.cgi?user_action=detail&catalogno=IHH13 (54 words)

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