For differentiating Inguinal hernia and femoral hernia the landmark will be -
1.Pubic symphysis
2.Femoral artery
3.Inferior epigastric vessel
4.Pubic tubercle
Explanation
The landmark for differentiating b/w femoral hernia and inguinal hernia is the pubic tubercle.
Inguinal hernia (Indirect) : The neck of the sac lies above and medial to the pubic tubercle.
Femoral hernia : The neck of the sac lies below and lateral to the pubic tubercle.
Inferior epigastric vessels is landmark for differentiating b/w direct & indirect inguinal hernias.
-
neck of the direct hernia lies medial to the inferior epigastirc vessels, where as the neck of the indirect hernia lies lateral to it.
Note
MC type of hernia in males → Indirect inguinal hernia
More common on Rt side
MC type in females → Indirect inguinal hernia (not femoral hernia)