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Year : 2015  |  Volume : 8  |  Issue : 4  |  Page : 361-363

Clinical differentiation between direct and indirect hernias – is it a clinical necessity or a medical dogma?

1 Department of Surgery, Rashid Hospital, Dubai, United Arab Emirates
2 Dubai Medical College, Dubai, United Arab Emirates

Correspondence Address:
Yousif H Eltayeb
Department of Surgery, Rashid Hospital, Dubai
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

DOI: 10.7707/hmj.474

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Clinical differentiation between direct and indirect inguinal hernias is a skill that has been taught and practised for decades. Its accuracy and value have recently been challenged. Modern radiological tools (e.g. ultrasound, colour duplex scanning, computerized axial tomography and magnetic resonance imaging) have been shown to have a superior diagnostic value if such differentiation is deemed necessary. In the current century, the clinical skill may remain to be of some academic value for teaching medical students. However, in clinical life its routine practice might represent a medical dogma.

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