Inguinal hernia the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Hernias are partly genetic and occur more often in certain families. It is unclear if inguinal hernias are associated with heavy lifting. Hernias can often be diagnosed based on signs and symptoms. Occasionally medical imaging is used to confirm the diagnosis or rule out other possible causes. Groin hernias that do not cause symptoms in males do not need to be repaired. Repair, however, is generally recommended in females due to the higher rate of femoral
Anterior cutaneous branches of the femoral nerve Anterior cutaneous branches of the femoral nerve The anterior cutaneous branches of the femoral nerve consist of the following nerves: "intermediate cutaneous nerve" and "medial cutaneous nerve". The intermediate cutaneous nerve (middle cutaneous nerve) pierces the fascia lata (and generally the sartorius) about 7.5 cm. below the inguinal ligament, and divides into two branches which descend in immediate proximity along the forepart of the thigh, to supply the skin as low as the front of the knee. Here they communicate with the anterior division of lateral cutaneous nerve, the anterior division of medial cutaneous nerve and the infrapatellar branch of