WordNet

straightforward in means or manner or behavior or language or action; "a direct question"; "a direct response"; "a direct approach"
having no intervening persons, agents, conditions; "in direct sunlight"; "in direct contact with the voters"; "direct exposure to the disease"; "a direct link"; "the direct cause of the accident"; "direct vote" (同)unmediated
in precisely the same words used by a writer or speaker; "a direct quotation"; "repeated their dialog verbatim" (同)verbatim
(of a current) flowing in one direction only; "direct current"
be in charge of
being an immediate result or consequence; "a direct result of the accident"
command with authority; "He directed the children to do their homework"
direct in spatial dimensions; proceeding without deviation or interruption; straight and short; "a direct route"; "a direct flight"; "a direct hit"
give directions to; point somebody into a certain direction; "I directed them towards the town hall"
guide the actors in (plays and films)
lacking compromising or mitigating elements; exact; "the direct opposite"
moving from west to east on the celestial sphere; or--for planets--around the sun in the same direction as the Earth
similar in nature or effect or relation to another quantity; "a term is in direct proportion to another term if it increases (or decreases) as the other increases (or decreases)"
of or relating to or near the groin
manageable by a supervising agent; "a directed program of study"
(often used in combination) having a specified direction; "a positively directed vector"; "goal-directed"
showing the way by conducting or leading; imposing direction on; "felt his mothers directing arm around him"; "the directional role of science on industrial progress" (同)directional, directive, guiding
rupture in smooth muscle tissue through which a bodily structure protrudes (同)herniation

PrepTutorEJDIC

『まっすぐな』,一直線の(straight),直進する / (列車などが途中駅に寄らずに)直行 / 直系の / 『直接の』,じかの / 『率直な』,単刀直入の / 全くの,絶対の / 原典どおりの / 『まっすぐに』,直行で / 〈事〉‘を'『指揮する』,監督する / 《文》〈人〉‘に'『命令する』,指図する / 〈人〉‘に'(…への)『道を教える』《+『名』〈人〉+『to』+『名』》 / (…に)〈目・注意・努力など〉‘を'『向ける』《+『名』+『to』(『at, toward』)+『名』(do『ing』)》 / 〈音楽・演劇・映画など〉‘を'『指揮する』,演出する,監督する / (…に)〈手紙など〉‘を'あてる《+『名』+『to』+『名』》
鼠蹊(そけい)部の(足のもものつけ根)
ヘルニア,脱腸

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/08/06 07:08:14」(JST)

wiki en

The direct inguinal hernia, a type of inguinal hernia, enters through a weak point in the fascia of the abdominal wall, and its sac is noted to be medial to the inferior epigastric vessels. Direct inguinal hernias may occur in males or females, but males are ten times more likely to get a direct inguinal hernia.^[1]

Anatomy[edit source | edit]

A direct inguinal hernia protrudes through a weakened area in the transversalis fascia near the medial inguinal fossa within an anatomic region known as the inguinal or Hesselbach's triangle, an area defined by the edge of the rectus abdominis muscle, the inguinal ligament and the inferior epigastric artery. These hernias are capable of exiting via the superficial inguinal ring but, unlike indirect inguinal hernias, they cannot move into the scrotum.

When a patient suffers a simultaneous direct and indirect hernia on the same side, the result is called a "pantaloon" hernia (because it looks like a pair of pants, with the epigastric vessels in the crotch), and the defects can be repaired separately or together.

Risk Factors[edit source | edit]

Since the abdominal walls weaken with age, direct hernias tend to occur in the middle-aged and elderly. This is in contrast to indirect hernias which, although their etiology includes a congenital component, can occur at any age ^[2]^[3] Additional risk factors include chronic constipation, overweight/obesity, chronic cough, family history and prior episodes of direct inguinal hernias.^[4]

References[edit source | edit]

^ "Direct Inguinal Hernia". University of Connecticut. Retrieved May 6, 2012.
^ James Harmon M.D. Lecture 13. Human Gross Anatomy. University of Minnesota. September 4, 2008.
^ http://www.emedicinehealth.com/hernia/article_em.htm
^ "Direct Inguinal Hernia". University of Connecticut. Retrieved May 6, 2012.

UpToDate Contents

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1. 鼠径ヘルニアおよび大腿ヘルニアの分類、臨床症状、および診断 classification clinical features and diagnosis of inguinal and femoral hernias in adults
2. 鼠径ヘルニアおよび大腿ヘルニアに対する治療の概要 overview of treatment for inguinal and femoral hernias
3. 小児における鼠径部腫脹の評価 evaluation of inguinal swelling in children
4. 鼠径ヘルニアおよび大腿ヘルニアの修復：腹腔鏡技術 inguinal and femoral hernia repair laparoscopic techniques
5. 小児における身体的診察：会陰 the pediatric physical examination the perineum

English Journal

An evidence-based approach for laparoscopic inguinal hernia repair: Lessons learned from over 1,000 repairs.

Castorina S, Luca T, Privitera G, El-Bernawi H.SourceDepartment of Biomedical Sciences, University of Catania, Catania, Italy; Fondazione Mediterranea "G.B. Morgagni," Catania, Italy. sergio.castorina@unict.it.
Clinical anatomy (New York, N.Y.).Clin Anat.2012 Sep;25(6):687-96. doi: 10.1002/ca.22022. Epub 2012 Jan 24.
In this educational article, we aim to provide a literature review on laparoscopic anatomy of the inguinal region. We share the lessons learnt from the 1,194 laparoscopic hernia operations we have performed in 16 years of experience, trying to provide an anatomical and physiological basis for surgeo
PMID 22275145

Aligning incentives in the management of inguinal hernia: the impact of the payment model.

Devarajan K, Rogers L, Smith P, Schwaitzberg SD.SourceTufts University School of Medicine, Boston, MA; Heller School for Social Policy and Management of Brandeis University, Waltham, MA.
Journal of the American College of Surgeons.J Am Coll Surg.2012 Sep;215(3):356-60.
BACKGROUND: The Affordable Care Act has stimulated discussion to find feasible, alternate payment models. Adopting a global payment (GP) mechanism may dampen the high number of procedures incentivized by the fee-for-service (FFS) system. The evolving payment mechanism should reflect collaboration be
PMID 22901511

Japanese Journal

臨床報告待機的に鼠径法でDirect Kugel法で修復した閉鎖孔ヘルニアの1例

松崎裕幸,竹上智浩,山田純 [他]
臨床外科 67(4), 563-566, 2012-04
NAID 40019242391

腹腔鏡観察下に診断した小児内鼠径ヘルニアの1例

銭谷昌弘,佐々木隆士,柳川雄大,北田昌之,島野高志
日本小児外科学会雑誌 47(5), 840-843, 2011-08-20
症例は5歳3か月の女児.左鼠径部の膨隆を主訴に来院し,左外鼠径ヘルニアの術前診断にてlaparoscopic percutaneous extraperitoneal closure(LPEC法)を企図した.臍アプローチにて腹腔鏡を挿入して腹腔内を観察したところ左右の内鼠径輪は閉鎖しており,下腹壁動静脈の内側にヘルニア門を認めたため内鼠径ヘルニアと診断した.修復は前方アプローチにてヘルニア嚢を腹腔 …
NAID 110008711756

「直接鼡径ヘルニア」

Inguinal hernia
	Classification and external resources
ICD-10	K40
ICD-9	550
DiseasesDB	6806
MedlinePlus	000960
eMedicine	med/2703 emerg/251 ped/2559
MeSH	C06.405.293.249.437

　　[★]

英: direct inguinal hernia
同: (国試)内鼡径ヘルニア内鼠径ヘルニア internal inguinal hernia
関: 鼡径ヘルニア、鼡径三角ヘッセルバッハ三角

[show details]

直接鼡径ヘルニア : 63 件
内鼡径ヘルニア : 77 件
内鼠径ヘルニア : 約 26,800 件

概念

内鼡径輪から鼡径管後壁のヘッセルバッハ三角に相当する部位に直接ヘルニア嚢が脱出する物(SSUR.484)
ヘルニア門：鼡径三角(内側を腹直筋により、外側を下腹壁動脈により、下方を鼠径靭帯により囲まれた三角形の部分)から腹腔内容物が外部に突出した病態

疫学

鼡径ヘルニアの1%程度？ (YN.A-107)
老人、肥満、男性、立位など腹圧のかかる職業

病態

加齢や肥満によるヘッセルバッハ三角の脆弱化による。また慢性的な高い腹圧によっても生じる

国試

097A029

「direct」

　　[★]

adj.

直接の、直接的な、直接型の、ダイレクトな

v.

指示する、向ける、指揮する、方向づける、指導する、配向する

関: coach、conduct、dictate、direction、directly、guidance、guide、immediate、indicate、indication、instruct、instruction、orient、orientation、point、straightforward、tutorial

「inguinal」

　　[★]

鼠径部の、鼡径部の、鼠径の、鼡径の

関: groin、inguinal region、regio inguinalis

[1] "Direct Inguinal Hernia". University of Connecticut. Retrieved May 6, 2012.

[James_Harmon_M.D.-2] James Harmon M.D. Lecture 13. Human Gross Anatomy. University of Minnesota. September 4, 2008.

[eMedicine-3] ttp://www.emedicinehealth.com/hernia/article_em.htm

[4] "Direct Inguinal Hernia". University of Connecticut. Retrieved May 6, 2012.

リンク元	「直接鼡径ヘルニア」
関連記事	「direct」「inguinal」

匿名

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案内

案内

direct inguinal hernia