What is Bubonocele hernia?
Medical Definition of bubonocele : an inguinal hernia especially : a hernia in which the hernial pouch descends only as far as the groin and forms a swelling there like a bubo.
What is the difference between an indirect and direct inguinal hernia?
A direct inguinal hernia protrudes directly forwards when the patient stands up whereas the indirect hernia shows a more oblique route downwards towards the scrotum. A hernia which goes into the scrotum is always indirect.
What is an indirect inguinal hernia?
Indirect inguinal hernias are the most common type of groin hernia. Indirect inguinal hernias occur when abdominal content such as fat or bowel pushes down along the inguinal canal. What is the inguinal canal? It is the tunnel through which a man’s vas deferens and testicular vessels travel down into the scrotum.
What is unilateral inguinal hernia?
An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.
What causes an indirect inguinal hernia?
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.
Where is an indirect inguinal hernia located?
Indirect inguinal hernias occur when abdominal contents protrude through the deep inguinal ring, lateral to the inferior epigastric vessels; this may be caused by failure of embryonic closure of the processus vaginalis.
What causes an indirect hernia?
The etiology of indirect hernias is largely explainable in terms of the embryology of the groin and of testicular descent. An indirect inguinal hernia is a congenital hernia, regardless of the patient’s age. It occurs because of protrusion of an abdominal viscus into an open processus vaginalis.
Why is it called an indirect hernia?
An indirect hernia is not caused by weakened or injured abdominal muscles. Instead, it occurs when an area of abdominal muscle tissue called the inguinal ring fails to close up while a baby is in the mother’s womb.
What causes indirect inguinal hernia?
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.
How do you fix an indirect hernia?
When is surgery needed? Inguinal hernias can be repaired using surgery to push the bulge back into place and strengthen the weakness in the abdominal wall. The operation is usually recommended if you have a hernia that causes pain, severe or persistent symptoms, or if any serious complications develop.
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.
Where does an indirect inguinal hernia protrude from?
Indirect inguinal hernias arise lateral and superior to the course of the inferior epigastric vessels, lateral to Hesselbach’s triangle, and then protrude through the deep or internal inguinal ring into the inguinal canal. An indirect hernia enters the inguinal canal at the deep ring, lateral to the inferior epigastric vessels.
What are the side effects of an inguinal hernia?
Complications include: incarceration the most common complication associated with inguinal hernias, the incidence could be as high as 30% for infants younger than 2 months. strangulation with bowel ischemia and perforation. intestinal obstruction.
What causes an inguinal hernia in a fetus?
Indirect inguinal hernia. An indirect inguinal hernia results from the failure of embryonic closure of the deep inguinal ring after the testicle has passed through it. It is the most common cause of groin hernia. In the male fetus, the peritoneum gives a coat to the testicle as it passes through this ring,…
How to diagnose an inguinal hernia by differential?
Differential diagnosis. On testicular ultrasound, one could consider spermatic cord lipoma on the differential if an inguinal hernia contains only omental fat. Movement of the fat with the Valsalva manoeuvre is more likely an indirect hernia.