Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

A weakness of the fascial margin of the internal ring indicates which type of hernia?

1. Indirect hernia

2. Direct hernia

3. Umbilical hernia

4. Incisional hernia

The correct answer is: Direct hernia

A weakness of the fascial margin of the internal ring specifically relates to direct inguinal hernias. In direct hernias, the abdominal contents protrude through a weakened area in the transversalis fascia, which is typically found in the floor of the inguinal canal. This area is characterized by a defect in the abdominal wall, allowing internal structures to push through. Inguinal hernias can be classified as either indirect or direct, with indirect hernias occurring through the internal ring due to a congenital defect or an inherent weakness. In contrast, direct hernias result from acquired weaknesses in the musculature of the abdominal wall. This distinction is crucial, as the location and the anatomy involved differ significantly between these two types of hernias. Umbilical and incisional hernias are related to different anatomical regions and mechanisms of development, further distinguishing them from direct hernias. An umbilical hernia occurs at the site of the umbilicus due to a weakness in the abdominal wall, while an incisional hernia appears at the site of a previous surgical incision.