Chapter 35: Groin Hernias- Direct Inguinal Hernia

Question 1

What is the differential diagnosis of a groin mass?

Answer 1

Lymphadenopathy

hematoma

serom

abscess

hydrocele

femoral artery aneurysm

EIC

undescended testicle

sarcoma

hernias

testicle torsion

Question 2

What is it?

Answer 2

Hernia within the floor of Hesselbach’s triangle, that is, the hernia sac does not traverse the internal ring (Think: directly through the abdominal wall)

Question 3

What is the cause?

Answer 3

Acquired defect from mechanical breakdown over the years

Question 4

What is the incidence?

Answer 4

≈1% of all men; frequency increases with advanced age

Question 5

What nerve runs with the spermatic cord in the inguinal canal?

Answer 5

Ilioinguinal nerve