Which type of hernia occurs medial to the inferior epigastric vessels?

A direct inguinal hernia occurs medial to the inferior epigastric vessels and is characterized by a weakness in the transversalis fascia. In this type of hernia, abdominal contents protrude directly through the posterior wall of the inguinal canal, typically due to muscular degeneration or increased intra-abdominal pressure. This hernia often occurs in older adults and is more common in males due to the anatomical differences in the inguinal canal.

Understanding the anatomical locations is crucial in distinguishing between hernia types. Indirect inguinal hernias occur lateral to the inferior epigastric vessels, which is the opposite positioning relative to a direct hernia. Umbilical hernias generally occur at the umbilical region and are not classified by their relation to the inferior epigastric vessels. Femoral hernias occur below the inguinal ligament and involve the femoral canal, which is also distinct from the inguinal anatomy. Therefore, the identification of direct inguinal hernias relies on their specific anatomical presentation in relation to the inferior epigastric vessels.