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protrusion of a tissue, structure, or part
IS a Fibrous BAND
through the muscular tissue or the membrane
external
abdominal
oblique
aponeurosis
formed by
by which it is normally contained
pubic tubercle
5% of the population
to the
A.Srepair
iliac spine
their
will develop an abdominal wall hernia
running from
one of the most frequently performed surgical operations.
Acquired Herniaforms the base of the inguinal canal
continuous with the fascia lata
Common in adult
Esp. Males
Inguinal Ligament
referred to as Poupart's ligament
tone in the abdominal musculature
with aging there iscontain
loss of soft tissues as they
course anteriorly from the trunk to
predisposes abdominal organs to
push directly anterior
serves to
same in men and womenthe lower extremity.
femoral
Occupation Plays
a roletriangle
increases intra-abdominal pressure
usually a bulge
related to strenuous activity that
superior border of the
Direct
it ismedial to the inferior epigastric vessels
the transversalis fascia
is a passage
protrudes through a weakened area in
Hesselbach's triangle
Inguinal Triangle
in men conveys
in women
within an anatomic region known as
And Enter scrotum
inferior epigastric vessels
Inguinal Hernia
Can exit S.I ring
Inguinal canal
leave the abdomen medial to the
spermatic cord
round ligament
it is larger and more prominent in men
Length
Approximately 4cm
testes Descend from near
Called Congenital Hernia
Due to Wider Canal
of the Kidney
Much more Common in males 25X
Gonads Developments
most common cause of groin hernia
Through it to the Scrotum
testicular tumour
follow the same route as the descending testes
lymphatic spread of
results from the failure of embryonic closure:
of the internal inguinal ring
hydrocele
Confused with
young men and child
not the inguinal nodes
Inguinal Region
Indirect
in infants
change in size of Hernia is Characteristic
inferior epigastric vessels
Common in
In the
triangular opening
Superficial inguinal ring
Reaching the scrotum
aponeurosis of the external oblique
immediately above the
leave lateral to the
Peritoneal part Protrude through deep canal
Called
subcutaneous inguinal ring too
formed by
separation of the fibers of the
crest of the pubis
aponeurosis
situated 1 centimeter above and lateral to the pubic tubercle.
incarceration
infarction
is to the para-aortic nodes 1st
indicated to prevent
forms the exit of the inguinal canal
Surgical repair
necrosis of the herniated tissue
loop of small intestine
Herniated Tissue usually
S.I ring Dilation
"sports hernia", "Gilmore's groin"
most common cause of
chronic groin pain
In Athletes
Esp. Soccer and Ice Hockey
Not Inguinal hernia
is the entrance to the inguinal canal
midpoint of the inguinal ligament
the transversalis fascia
Athletic pubalgia
Loacation
it is at the layer of
It is of an oval form
varies in size in different subjects
larger in the male than in the female
above and laterally
lower margin of the transversalis fascia
medially
inferior epigastric vessels
pain during sports movements
pain usually radiates to
Deep Inguinal Ring
and twisting and turning
adductor muscle region
And the testicles
increases intra-abdominal pressure
can cause pain
problem usually gets progressively worse
Allot of differential Diagnosis
bounded
particularly hip extension
gentle stretching
therapies
short period of rest
surgical repair