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Review Questions 

Review Questions
Review Questions

David Seiden

and Siobhan A. Corbett

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date: 01 December 2020

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1. What characteristics distinguish an indirect inguinal hernia from a direct inguinal hernia?

Both types of inguinal hernia emerge through the superficial inguinal ring. However, an indirect inguinal hernia passes through the deep inguinal ring, and a direct inguinal hernia does not. A direct inguinal hernia passes through the inguinal (Hesselbach's) triangle, which is medial to the deep inguinal ring. An indirect hernia passes lateral to the inferior epigastric artery, whereas a direct hernia passes medial to that artery. An indirect hernia is covered by all three layers of the spermatic fascia after it exits from the superficial ring, whereas a direct hernia is covered only by the external spermatic fascia....

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