Difference between Indirect and Direct Inguinal hernia
pristyncare.com
| Indirect Inguinal Hernia | Direct Inguinal Hernia |
|---|---|
| Usually seen in children and young adults | Common in elder people mostly above 40 years of age |
| It may be congenital | It comes along with age when straining or lifting heavy objects |
| Can descend into the scrotum | Cannot descend into the scrotum |
| Pass through the inguinal canal | Bulge from the posterior wall of the inguinal canal |
| It appears as an elliptical swelling | It appears as a circular, symmetric swelling at the external ring |
| Reduces upward then laterally and then backwards | Reduces upward and then straight backward |
| It is not that noticeable as it is behind the fibers of the external muscle | It may be felt in the abdominal wall |
| The reduction of the indirect hernia can be controlled by pressure over the internal ring | Reduction cannot be controlled in case of the direct hernia |
| On standing, indirect hernia takes time to reach to its complete size | Direct hernia appears immediately on standing |
| Similarly, on lying down, there is a delay before the indirect hernia retracts fully | Similarly, direct hernia disappears immediately |
| After the reduction, the bulge appears in the middle of the inguinal region before turning to the scrotum | After reduction, the protrusion appears exactly where it was before |
How do doctors Diagnose Direct and Indirect Hernia?
To diagnose a hernia-whether direct or indirect- the doctor simply performs a physical examination. He can ask the patient to stand and then cough or strain.
For further diagnosis, the doctors also recommend some imaging tests to check where the hernia is located–
- Ultrasound
- Abdominal x-ray
- CT scan
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