Hernia

Nerves Near the Spermatic Cord ↓

Iliohypogastric: superficial if seen Ilioinguinal: typically superficial to cord Genitofemoral: usually posterior to cord  Inguinal Hernia  Indirect Passes through deep (internal) inguinal ring, inguinal canal, and finally through superficial (external) inguinal ring; follows course of spermatic cord Typically congenital, associated with a persistence of the fetal processus vaginalis (peritoneal tract accompanying the descending testis) Direct Passes directly through posterior wall of inguinal canal, through defect in transversalis fascia, within Hesselbach’s triangle