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Guideline on the treatment of inguinal hernia in adult patients according to European Hernia Society EHS
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Hernia from both sides or bilateral hernia
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inguinal hernia

Inguinal hernia
Inguinal hernia is localized in the lower part of abdomen, above the thigh, nearby or in groin. It may appear from both sides of pubis and then we speak about bilateral inguinal hernia. Inguinal hernia, together with femoral hernia are both types of hernias, formed in groin
Inguinal hernias are classified as direct or indirect.
Indirect inguinal hernia arises at weakness of internal inguinal aperture.
Direct inguinal hernia is resulting from weakness of the floor of inguinal canal and is more frequent in individuals over 40 years of age. 

 
     
Femoral (crural) hernia
Femoral hernia, together with inguinal hernia, are hernias localized in groin. They are more frequent in women and pregnancy and delivery play role for their appearance. These hernias are complicated very often by entrapment and therefore timely operation is recommended, if diagnosed.

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   Inguinal hernia                                                                         Femoral (crural) hernia            

inguinal hernia