Coverings of Direct and Indirect Inguinal Hernias

The following table enlists the Coverings of the Direct and Indirect inguinal hernias.

Indirect inguinal herniaDirect inguinal hernia
• Extraperitoneal tissue
• Internal spermatic fascia
• Cremasteric fascia
• External spermatic fascia
• Skin
• Extraperitoneal tissue
• Fascia transversalis
• Conjoint tendon (in medial direct hernia)
• Cremaster fascia (in lateral direct hernia)
• External spermatic fascia
• Skin

Coverings of the indirect and direct inguinal hernias (Figs 4.17 and 4.18)

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