Oblique and direct inguinal hernia inguinal hernia
SURGERY – EURODOCTOR.RU – 2007
SURGICAL DIVISION CB 6 RZD – MOSCOW
Inguinal hernia – the most common form of hernia. In relation to the outside or deep inguinal hernia ring are slanted or straight.
Oblique inguinal hernia
Peritoneal hernial sac protrudes through the deep inguinal ring, inguinal canal passes, and can reach up to the upper pole of the testis. Hernial congenital (spina processus vaginalis) or acquired – in the presence of the anatomical structure of the prerequisites for the inguinal canal. It is more common in men. Most often appears in childhood or young adults. In children, often associated with hydrocele and cryptorchidism.
In its development goes through a series of successive stages, beginning with an oblique hernia, hernia channel; oblique inguinal hernia of spermatic cord, oblique inguinal-scrotal hernia.
Direct inguinal hernia
Direct inguinal hernia – an acquired (age) hernia. Hernial ring located in the abdominal wall, in the triangle Kesselbaha (bounded from below the inguinal ligament, lateral – the lower epigastric artery and medial – the outer edge of the rectus abdominis muscle). Arises from the weakness of the transverse fascia, which forms the back wall of the inguinal canal, and prolapses into the skin in the projection of the external inguinal ring. It is often bilateral and occurs in older patients may be associated with obesity, cough, constipation, prostatizmom.
There may be two types of hernia, separated by the lower epigastric artery – the so-called "trousers" hernia.
ISSUE application for treatment
Examination and treatment in GERMANY – Institute "DIAGNOSTIX"
AID IN THE TREATMENT –
Classification of inguinal hernias
Diagnosis of an inguinal hernia
Treatment of inguinal hernia