The proportion of incarcerated direct inguinal hernia to inguinal hernia and the significance of herniography indiagnosis

ObjectiveTo analyze the proportion of incarcerated direct inguinal hernia(IDIH) to inguinal hernia and toshow the significance of herniography in diagnosis. MethodsOne case of bilateral IDIH was reported and the literatureswere reviewed to analyze the proportion of IDIH to incarcerated inguinal hernia, direct inguinal hernia and inguinal hernia.The herniography showed the significance in diagnosis of diverticular direct inguinal hernia(DDIH) , which was the mostcommon cause of IDIH.ResultsIn recent years, the proportion of IDIH to incarcerated inguinal hernia, direct inguinalhernia and inguinal hernia increased in elderly group in China. An evaluative herniography preoperative could demonstrate theDDIH and the ipsilateral multiple hernia.ConclusionsIts very important to confirm IDIH and DDIH. The proportion ofIDIH to inguinal hernia increases in elder. An evaluative herniography is of great value to the diagnosis of DDIH, which is themain cause of IDIH.