What is true about direct inguinal hernias?

Direct inguinal hernias occur due to a weakness in the abdominal wall, specifically in the region of the inguinal canal. These hernias protrude through a defect in the transversalis fascia and are considered medial to the inferior epigastric artery. This anatomical position is significant because it helps differentiate between direct and indirect inguinal hernias.

Indirect inguinal hernias, in contrast, occur lateral to the inferior epigastric artery and pass through the deep inguinal ring. They are more common and can occur in both males and females, whereas direct inguinal hernias are predominantly found in males due to the structural differences in the male inguinal canal and the increased likelihood of developing weakness in this area over time.

Additionally, the statement that direct inguinal hernias occur only in females is false, as they are much more common in males. Understanding these key anatomical and physiological principles related to hernias allows for better diagnosis and treatment strategies in clinical practice.