Which hernia passes through Hesselbach triangle?

A direct inguinal hernia occurs when the intestines protrude through the Hesselbach triangle into the inguinal canal, a short passageway in the anterior abdomen which allows structures to transverse the abdominal wall to the external genitalia.

Why is Hesselbach triangle so weak?

The inguinal triangle represents an area of potential weakness in the abdominal wall, through which herniation can occur. By definition, a direct inguinal hernia occurs medially to the inferior epigastric vessels (through the inguinal triangle), and an indirect hernia occurs laterally to these vessels.

What is the difference between direct and indirect hernia?

There are two types of inguinal hernias: Direct: Develops over time due to straining and is caused by weakness in the abdominal muscles. Most common in adult males and rare in children. Indirect: Caused by a defect in the abdominal wall that will typically have been present since birth.

Why is it called triangle of doom?

The vas deferens and the gonadal vessels form the boundaries of a so-called ‘triangle of doom’ [18] . This tri- angle of doom contains the external iliac artery and vein. No dissection or other activity whatsoever should be per- formed in this area, as an injury to either of these vessels could be fatal.

What is Richter’s hernia?

Richter hernia (partial enterocele) is the protrusion and/or strangulation of only part of the circumference of the intestine’s antimesenteric border through a rigid small defect of the abdominal wall. The first case was reported in 1606 by Fabricius Hildanus.

What does a Spigelian hernia feel like?

Symptoms of a Spigelian hernia vary from person to person and range from mild to severe. A common sign of this hernia is a lump or bulge either below or to the side of the belly button. The lump may feel soft to the touch. Another symptom is constant or intermittent abdominal pain .