For medical, nursing and physiotherapy undergraduates, and postgraduates

1. INGUINAL CANAL
AND
SPERMATIC CORD

2. DEFINITION

4. PECULARITIES

5. CONTENTS

7. BOUNDARIES

9. ANTERIOR WALL

10. POSTERIOR WALL

12. ROOF

13. FLOOR

14. INLET

18. RELATIONS OF DEEP RING/INLET

19. OUTLET

22. BOUNDARIES OF SUPERFICIAL RING

23. DEFENCE MECHANISM OF INGUINAL CANAL

24. DEVELOPMENT OF INGUINAL CANAL

25. OBLIQUE INGUINAL HERNIA

28. COVERINGS OF COMPLETE TYPE OF OBLIQUE
HERNIA

29. TYPES OF OBLIQUE INGUINAL HERNIA

30. TYPES OF OBLIQUE INGUINAL HERNIA

31. DIRECT INGUINAL HERNIA

32. COVERINGS OF LATERAL DIRECT HERNIA

33. COVERINGS OF MEDIAL DIRECT HERNIA

34. Oblique Direct
Hernia enters the inguinal canal through deep
inguinal ring
It enters the canal through the triangle of Hesselbach
The neck of the hernial sac lies lateral to the
inferior epigastric artery
The neck of the hernial sac lies medial to the inferior epigastric
artery
Unilateral and occurs in young subjects Usually bilateral and appears in old age
Directed downwards, forwards and medially Directed almost straight and forwards
Case is congenital, due to presence of
processus vaginalis of peritoneum
Case is acquired due to weakness of the conjoint tendon
It receives all the coverings of the spermatic
cord and the vas deferens usually lies behind
and below the sac
It pushes the contents of spermatic cord laterally and the
hernial sac intervenes between internal spermatic fascia and
cremasteric fascia in lateral direct hernia; between cremasteric
fascia and external spermatic fascia in medial direct hernia.

35. SPERMATIC CORD

36. COVERINGS OF SPERMATIC CORD

37. CONTENTS OF SPERMATIC CORD

39. CONTENTS OF SPERMATIC CORD

40. THANK YOU