Which type of hernias occur in Hesselbach's triangle?

The type of hernias that occur in Hesselbach's triangle are direct hernias. Hesselbach's triangle is an anatomical region located in the lower abdomen, bordered by the inguinal ligament above, the lateral border of the rectus abdominis muscle medially, and the inferior epigastric vessels laterally. This area is significant in the context of hernias because it represents a site where abdominal contents can protrude through a weakness in the abdominal wall.

Direct hernias occur through a defect in the transversalis fascia that is located in this triangle. They typically arise in adults due to a combination of factors such as age, weak abdominal musculature, and increased intra-abdominal pressure. In contrast, indirect hernias occur through the inguinal canal and are often associated with a congenital defect. Incisional hernias occur at the site of a previous surgical incision, and umbilical hernias arise through the abdominal wall at the umbilical region. Understanding the anatomy and types of hernias is crucial for effective surgical interventions and assessments in the field of surgical assisting.