Superficial Inguinal Ring Hernia

When the hernia reaches the scrotal sac it is complete and when it remains in the canal and does not pass through the superficial inguinal ring it is said to be. Acquired as a weakness in inguinal triangle hesselbach s triangle and then passes through the superficial inguinal ring. Boundaries of inguinal triangle are medial border of rectus sheath.

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The hernia originates medial to inferior epigastric vessels.

Superficial inguinal ring hernia. The superficial inguinal ring known alternately as the subcutaneous or external inguinal ring is a small opening between the layers of soft tissue in the lower abdominal wall. Hesselbach s triangle is also considered as a weak spot of the groin through which abdominal contents may protrude is labeled as direct inguinal hernia. It is a triangle shaped opening formed by the evagination of the external oblique which forms another covering of the inguinal canal contents. It is the outermost opening that nearest the skin to the inguinal canal a tunnel through which multiple nerves and reproductive vessels pass.

The superficial external ring marks the end of the inguinal canal and lies just superior to the pubic tubercle. This tissue then protrudes or emerges at the exit point the superficial inguinal ring. Inguinal region is considered as a weak spot in the lower abdomen owing to the presence of superficial deep inguinal ring and the inguinal canal. Gilmore first described a groin disruption in 1980 with pathologic features including a torn external oblique aponeurosis torn conjoined tendon a dehiscence between the conjoined tendon and the inguinal ligament a dilated superficial inguinal ring and a lack of clinically detectable hernia.

Ring test coverings of lateral direct hernia. The herniated loops of small intestine pass through the deep inguinal ring into the inguinal canal it may emerge through the superficial inguinal ring and descend into the scrotum. The superficial inguinal ring subcutaneous inguinal ring or external inguinal ring is an anatomical structure in the anterior wall of the mammalian abdomen. It is a triangular opening that forms the exit of the inguinal canal which houses the ilioinguinal nerve the genital branch of the genitofemoral nerve and the spermatic cord in men.

An inguinal hernia is a protrusion or movement of abdominal contents from within the abdominal cavity. Direct vs indirect inguinal hernias.