Direct inguinal hernia

Direct inguinal hernia is a type of hernia that occurs when part of the intestine protrudes through a weakness in the abdominal muscles, specifically in the inguinal canal. This condition is more common in men than in women due to the male's natural weakness in this area.

Causes

Direct inguinal hernias are primarily caused by the weakening of the abdominal muscles due to age, chronic coughing, or straining during bowel movements. Unlike indirect inguinal hernia, they do not follow the path of the inguinal canal and are not present at birth.

Symptoms

The most common symptom of a direct inguinal hernia is a bulge or swelling in the groin or scrotum. This bulge may become more noticeable when standing or straining and may disappear when lying down. Other symptoms may include pain or discomfort in the groin, especially when lifting, bending over, or coughing.

Diagnosis

Diagnosis of a direct inguinal hernia is typically made through a physical examination. The doctor may feel for a bulge in the groin area while the patient stands and strains. In some cases, an ultrasound or CT scan may be used to confirm the diagnosis.

Treatment

Treatment for a direct inguinal hernia usually involves surgery to repair the opening in the muscle wall. This can be done through open surgery or laparoscopic surgery. In some cases, a synthetic mesh may be used to strengthen the area.

Prevention

Prevention of direct inguinal hernias primarily involves avoiding activities that cause strain to the abdominal muscles. This includes maintaining a healthy weight, avoiding heavy lifting, and treating conditions that cause chronic coughing or constipation.

Direct inguinal hernia Resources
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