Are the presentations of indirect inguinal hernia and direct inguinal hernia the same?

Under normal circumstances, the presentations of indirect inguinal hernia and direct inguinal hernia are not the same. The specific analysis is as follows:

The clinical manifestations of indirect and direct inguinal hernias differ primarily due to variations in anatomical origin and path of protrusion. An indirect inguinal hernia usually emerges through the deep inguinal ring lateral to the inferior epigastric artery, passes through the inguinal canal, and exits via the superficial ring, potentially extending into the scrotum. The protruding mass is typically oval or pear-shaped. It can often be reduced by gentle pressure when the patient lies down. After reduction, applying pressure over the deep ring prevents the hernia from re-protruding. In contrast, a direct inguinal hernia protrudes through the Hesselbach's triangle, medial to the inferior epigastric artery, does not pass through the inguinal canal, and does not enter the scrotum. The bulge is usually hemispherical, easily reducible when lying down, but may still reappear even after pressure is applied to the deep ring.

In daily life, once an abnormal lump is detected in the inguinal region, strenuous exercise, prolonged standing, or straining during defecation should be avoided to prevent increased intra-abdominal pressure that could enlarge the hernia or lead to incarceration. If the lump becomes irreducible, or if local pain intensifies accompanied by nausea and vomiting, immediate medical attention is required to avoid delays in treatment that could lead to serious complications.