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hernia (protrusion) Tags: Mobile edit Mobile web edit Advanced mobile edit |
→Direct inguinal hernia: is called a '''pantaloon hernia''' or '''saddlebag hernia''' Tags: Mobile edit Mobile web edit Advanced mobile edit |
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A direct inguinal hernia protrudes through a weakened area in the [[transversalis fascia]] near the [[medial inguinal fossa]] within an anatomic region known as the inguinal or [[Hesselbach's triangle]], an area defined by the edge of the [[rectus abdominis muscle]], the [[inguinal ligament]] and the inferior epigastric artery. These hernias are capable of exiting via the [[superficial inguinal ring]] and are unable to extend into the [[scrotum]].
{{Anchor|Pantaloon hernia|Saddlebag hernia}}
When a patient suffers a simultaneous direct and [[#Indirect inguinal hernia|indirect hernia]] on the same side,
Since the abdominal walls weaken with age, direct hernias tend to occur in the middle-aged and elderly. This is in contrast to indirect hernias which can occur at any age including the young, since their etiology includes a congenital component where the inguinal canal is left more patent (compared to individuals less susceptible to indirect hernias).<ref name= "James Harmon M.D.">James Harmon M.D. Lecture 13. Human Gross Anatomy. University of Minnesota. September 4, 2008.</ref><ref name= "eMedicine">http://www.emedicinehealth.com/hernia/article_em.htm</ref> Additional risk factors include chronic constipation, overweight/obesity, chronic cough, family history and prior episodes of direct inguinal hernias.<ref name="Direct Inguinal Hernia"/>
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