Hernia (1/3), where the hernia contents push through a weak spot in the back wall of the inguinal canal. Inguinal hernias are the most common type of hernia in both men and women. In some selected cases, they may require surgery. There are special cases in which the hernia may contain both direct and indirect hernia simultaneously pantaloon hernia, or, though very rare, may contain simultaneous indirect hernias. Pantaloon hernia (Saddle Bag hernia) is a combined direct and indirect hernia, when the hernial sac protrudes on either side of the inferior epigastric vessels. Femoral hernias occur just below the inguinal ligament,
Inguinal canal Inguinal canal The inguinal canals are the two passages in the anterior abdominal wall which in males convey the spermatic cords and in females the round ligament of uterus. The inguinal canals are larger and more prominent in males. There is one inguinal canal on each side of the midline. The inguinal canals are situated just above the medial half of the inguinal ligament. In both sexes the canals transmit the ilioinguinal nerves. The canals are approximately 3.75 to 4 cm long. , angled anteroinferiorly and medially. A first-order approximation is to visualize each canal as a cylinder. To help