Anterior Abdominal Wall: Lab 4 - Page 6 of 6
An indirect hernia occurs through the deep inguinal ring. A hernia to the medial side of the inferior epigastric artery is a direct hernia.
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| Indirect hernia Tap on image to enlarge |
Direct hernia Tap on image to enlarge |
What is the surgical significance of Hesselbach's Triangle? |
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This is where direct hernias are found. |
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| Femoral hernias are felt below the inguinal ligament. The herniated bowel passes through the very narrow canal between the femoral sheath and the symphysis pubis. |
Are femoral hernias congenital or acquired? |
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They are acquired and occur mostly in middle aged and elderly populations. Femoral hernias are more common in females because of a wider pelvis. |
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