Direct Inguinal Hernia

Direct inguinal hernia is protrusion of peritoneum through Hesselbach triangle (transversalis fascia weakness), usually in elderly/males, presenting with bilateral groin bulges that reduce easily. Treatment: elective surgical repair (open mesh or laparoscopic); watchful waiting if asymptomatic; urgent repair if incarcerated/strangulated; treat risk factors (constipation/cough/obesity/BPH); postoperative care; follow-up to detect recurrence/contralateral hernia.

Common Symptoms

Bilateral groin bulge; easily reducible; in elderly/males; by Hesselbach weakness

Causes and Pathogenesis

Fascial weakness in Hesselbach triangle causes direct protrusion.

Treatment

Elective mesh repair; watchful waiting if asymptomatic; urgent if incarcerated

Preventive Measures

Treat constipation/cough/BPH; weight control; avoid straining.

Department to Visit

It is recommended to visit the Gastrointestinal-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.