Related Experiment Video
Updated: Feb 7, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
A rare encounter of obstructed direct inguinal hernia of sliding variety
Manmohan Kamat1, Neerajpratap Singh1, Kartik Nattey1
1Nanavati Superspeciality Hospital, Mumbai, Maharashtra, India.
Introduction:
Direct Obstructed inguinal hernias of sliding variety with bladder as its content is extremely rare.
Case Report:
We report the case of an 83-year-old male known case of DM, presented with irreducible and painful swelling over the right inguinal region and cough impulse on right inguinal region. On exploration of the right side, the obstructed hernia was found to be a direct type sliding hernia with sac wall forming anterior covering layer and containing congested small bowel loops (ileum) and bladder forming the medial wall of the hernia sac. After gaining viability the content was reduced, posterior wall defect was closed and Lichtenstein tension free repair was done.
Conclusion:
Direct inguinal hernia of sliding variety getting obstructed is rare. Direct Sliding hernia on right side with ileum as content and bladder forming the wall is extremely rare.
Related Concept Videos
Design Example: Designing Water Slide
Bernoulli's principle determines the water's velocity along the slide....
Directing Effect of Substituents: meta-Directing Groups
Chronic Obstructive Pulmonary Disease
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Design Example: Measuring Distance Between Two Points with Obstructions
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
Chronic Inflammation
Directing Effect of Substituents: ortho–para-Directing Groups

