How can you tell the difference between a direct and indirect hernia?

A direct hernia doesn’t follow that path through the inguinal ring into the scrotum. That means a hernia that forms one side of the groin or the other is most likely a direct hernia. An indirect hernia may also cause bowel obstruction if it slips into the inguinal ring and becomes swollen in the abdomen.

Do indirect hernias enter the spermatic cord?

Background. Indirect inguinal hernias are usually congenital, forming a sac in the core of the spermatic cord covered by the internal spermatic, cremasteric, and external spermatic fasciae1−3.

What is more common direct or indirect hernia?

Epidemiology. 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.

Can you tell the difference between a direct and an indirect inguinal hernia on physical exam?

The size of the external ring can be ascertained by palpating just lateral to the pubic tubercle. Again with the patient coughing, hernia bulges can be felt either against the side of the examining finger (direct hernia) or at the tip of the finger as it approaches the internal ring (indirect hernia).

What type of a hernia can be indirect or direct?

Direct inguinal hernias are often caused by age-related stress and weakened muscles in the inguinal canal. Indirect inguinal hernias are caused by a persistent opening that does not close during fetal development. The only way to repair an inguinal hernia is through surgery.

Why inguinal hernia is common on right side?

Indirect hernias are more common on the right side because of delayed descent of the right testicle. Hernias are present on the right side in 60% of patients, on the left in 30%, and bilaterally in 10% of patients.

Can an ultrasound detect a hernia?

Diagnosing a Hernia Common imaging to diagnose a hernia includes these tests: Ultrasound Your doctor may recommend this test if you’re a woman to rule out causes of pain related to your reproductive system, such as ovarian cysts or fibroids. Men might have an ultrasound to assess for inguinal or scrotal hernias.

What does a direct inguinal hernia feel like?

Inguinal hernia signs and symptoms include: A bulge in the area on either side of your pubic bone, which becomes more obvious when you’re upright, especially if you cough or strain. A burning or aching sensation at the bulge. Pain or discomfort in your groin, especially when bending over, coughing or lifting.

How do you self check for hernia?

How to tell you have a hernia

1. Feel for a lump or swelling around the pubic bone.
2. If you find a lump, make note of where it is and lie down.
3. Did the lump disappear or become smaller? If so, it may be a hernia.
4. Do you feel discomfort when coughing or lifting heavy objects? It’s almost certainly a hernia.

What can be mistaken for a hernia woman?

Hernias can go misdiagnosed in women, and can instead be thought to be ovarian cysts, fibroids, endometriosis, or other abdominal issues, according to the SLS. Women’s hernias can be small and internal. They might not be a bulge that can be felt in an exam or be visible outside the body, according to the SLS.

Is inguinal hernia direct or indirect?

An inguinal hernia is a protrusion of parietal peritoneum and possibly pelvic and abdominal structures into the inguinal canal. They are classified as direct or indirect. An indirect inguinal hernia occurs when tissue protrudes the deep inguinal ring travels into the canal and then exits the superficial inguinal ring.

What is indirect inguinal hernia?

Patient Information. An indirect inguinal hernia is a form of a hernia occurring in the groin region which comprises a protrusion of the organs, mainly intestines, through the abdominal wall and their descent into the scrotum along with the spermatic cord.

What is indirect umbilical hernia?

Indirect umbilical (paraumbilical) hernias protrude above or below the umbilicus and are the most common type of umbilical hernia in adults. Infantile umbilical hernias result from failure of the umbilical ring to close.

What are the symptoms of an inguinal hernia?

The symptoms of an inguinal hernia include a bulge in the groin area and pain, pressure, or aching at the bulge, especially when lifting, bending, or coughing. These symptoms usually subside during rest.