DrVirgo
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A 75 year old man has intermittent cramping pain in his right groin. Examination shows a large inguinal hernia that extends into the scrotum. Repair is recommended. During the operation, which of the following arteries is the most useful landmark for locating the deep inguinal ring?
A. External Iliac
B. Femoral
C. Inferior epigastric
D. Obturator
E. Superior Epigastric
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| mjl1717
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answer-c
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| waqastariq
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it is the Inferior Epigastric artery that makes the lateral boundary of Hasselbach's triangle...if the sac is found to be protruding medical to the artery, it is direct inguinal hernia otherwise it is indirect inguinal hernia coming through the canal 
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| DrVirgo
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yes.
Indirect hernia is lateral to IE artery
Direct hernia is medial to IE artery.
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| Cedrick
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wow mjl1717 you are on the money man (or girl ) no offense
thanks really you are of help
Triangle of Hesselbach ? speeling o well !!!
rectus abdominal muscle
inguinal ligament
inferior epigastric vessels
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| robin082006
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I agree with you guys
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| vanshita
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MD Don't Lie
direct medial to artery
indirect lateral to artery
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