What is the anatomy of the inferior epigastric artery in relation to abdominal hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

The inferior epigastric artery, which arises from the external iliac artery and courses with its companion vein vertically in the preperitoneal fat, is the anatomic point differentiating indirect inguinal hernias from direct inguinal hernias. Hernias presenting superolateral to the inferior epigastric vessels are indirect inguinal hernias, whereas those arising inferomedial to these vessels are direct inguinal hernias.


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