What is the difference between direct and indirect hernias?
A direct inguinal hernia shows a bulge from the posterior wall of the inguinal canal, whereas an indirect inguinal hernia passes through the inguinal canal or the groin. In the indirect inguinal canal, it is difficult to feel the defect as it occurs behind the external oblique muscle fibers.
Can you fly on an airplane with a hernia?
Can I Fly With a Hernia? Flying with a hernia has a couple of risks. The first of these is that there is a small chance that the changes in air pressure in the cabin could cause the hernia to strangulate which would require immediate medical attention that is not possible whilst on a plane.
How do you examine direct and indirect hernias?
The size of the external ring can be ascertained by palpating just lateral to the pubic tubercle. Again with the patient coughing, hernia bulges can be felt either against the side of the examining finger (direct hernia) or at the tip of the finger as it approaches the internal ring (indirect hernia).
What’s the difference between a direct and an indirect inguinal hernia and what is the cause of each?
There are two types of inguinal hernias: Direct: Develops over time due to straining and is caused by weakness in the abdominal muscles. Most common in adult males and rare in children. Indirect: Caused by a defect in the abdominal wall that will typically have been present since birth.
Why is it called direct hernia?
This type of hernia is termed direct as the hernial sac directly protrudes through the inguinal wall, in contrast to indirect inguinal herniae which arise through the deep ring and enter the inguinal canal.
Why is it called indirect hernia?
Because the sac emerges through the deep inguinal ring and passes through the inguinal canal, it is an indirect type and because it passes beside the spermatic cord we call it juxtacordal hernia. Because of the thick extraperitoneal fat layer over the sac, we think this hernia is acquired.
Can you fly with a large hernia?
There is an increased risk of swelling and strangulation, if you travel with a protruding hernia, so it’s important to listen to the advice of your doctor.
Can I travel by plane after hernia surgery?
Although some guidelines say that flying is okay after 24 hours following laparoscopic surgery, to reduce the risk of DVT, it’s best to wait between four to six weeks.
How is direct and indirect inguinal hernia diagnosed?
If you’re a man and your doctor finds that the hernia has extended into your scrotum, the diagnosis is usually an indirect hernia. A direct hernia doesn’t follow that path through the inguinal ring into the scrotum. That means a hernia that forms one side of the groin or the other is most likely a direct hernia.
What causes an indirect hernia?
The etiology of indirect hernias is largely explainable in terms of the embryology of the groin and of testicular descent. An indirect inguinal hernia is a congenital hernia, regardless of the patient’s age. It occurs because of protrusion of an abdominal viscus into an open processus vaginalis.
Where does the direct hernia located?
Direct inguinal hernia: A direct inguinal hernia penetrates directly through the wall of your inguinal canal. This type of hernia occurs in adults over time, from a combination of weakening abdominal muscles and chronic pressure on the muscle wall.
Can I travel with inguinal hernia?
If you have a hernia (it sounds like your GP thinks you have an inguinal hernia) then being on a plane for a few hours should be safe. But if you are getting pain in the hernia it could be a sign that it may become strangulated sooner rather than later.
How many days after hernia surgery can I fly?
How long after a hernia operation can you fly?
Flying can resume one week after diagnostic laparoscopy if symptoms of the underlying condition permit and 3-4 weeks after more major laparoscopic procedures such as inguinal hernia repair or cholecystectomy.
Why is direct hernia called direct?
What is the difference between indirect and direct hernias?
However, indirect and direct hernias occur in different locations. Direct hernias protrude through the back wall of the inguinal canal, while indirect hernias protrude through the inguinal ring. The symptoms of indirect and direct hernias are similar. They include: Symptoms may only be noticeable or be worse when coughing or straining.
How can I prevent an inguinal hernia?
However, there are some steps you can take to lower your risk of developing a direct inguinal hernia, including: 3 Be careful when lifting heavy things. Don’t strain when having a bowel movement. Treat constipation (difficulty moving your bowels).
Can an indirect hernia cause bowel obstruction?
An indirect hernia may also cause bowel obstruction if it slips into the inguinal ring and becomes swollen in the abdomen. This condition can worsen into a phase known as “strangulation,” which can affect blood flow in the intestines.
What are the causes of a direct hernia?
A direct hernia is usually caused when the wall of the abdominal muscles becomes weak. That allows a portion of the intestine to push through the abdominal wall. This weakening can develop over time, due to everyday activities and aging.