Can a hernia affect the spermatic cord?

Can a hernia affect the spermatic cord?

Introduction: A spermatic cord lipoma is found in 20–70% of all inguinal hernia repairs. The clinical picture of an inguinal hernia with bulging and pain but without an actual indirect hernia sac may become manifest in up to 8% of these cases.

What is the relationship of the hernia neck of a direct hernia to the inferior epigastric vessels?

On axial CT images, the neck of the hernia arises lateral and superior to the course of the inferior epigastric vessels. Thus, the hernia neck will be superolateral to the course of the inferior epigastric vessels. As the hernia sac protrudes further caudally, it is directed lateral to medial within the inguinal canal.

Is an indirect inguinal hernia in the spermatic cord?

Background. Indirect inguinal hernias are usually congenital, forming a sac in the core of the spermatic cord covered by the internal spermatic, cremasteric, and external spermatic fasciae1−3.

Which hernia is related to inferior epigastric artery?

A direct inguinal hernia usually occurs as a consequence of a defect or weakness in the transversalis fascia area of the Hesselbach triangle. The triangle is defined inferiorly by the inguinal ligament, laterally by the inferior epigastric arteries, and medially by the conjoined tendon.

What is herniorrhaphy?

Overview. A herniorrhaphy refers to the surgical repair of a hernia, in which a surgeon repairs the weakness in your abdominal wall. A hernia occurs when a weak area in the muscles of your abdominal wall allows an internal part of your body to push through.

Why is an indirect hernia called indirect?

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. In boys, the ring allows the testicles to drop into the scrotum, and then usually closes.

What is the difference between a direct and indirect hernia?

The difference is in the anatomical location. Direct hernias protrude through the posterior (back) wall of the inguinal canal. Indirect hernias protrude through the inguinal ring.

What causes an indirect 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 does indirect hernia mean?

Which hernia is more common in females?

Indirect inguinal hernia is the most common hernia in women. It is congenital and due to nonclosure of the processus vaginalis. Tissue protrudes through the internal ring and passes down the inguinal canal a variable distance with the round ligament.