Panel No. 2

The External Oblique layer has been divided to expose the spermatic cord and the hernia-in this case a direct hernia bulging through the floor of the canal. An indirect hernia would be seen as a “balloon” arising from the internal ring, the opening where the spermatic cord emerges into the hernia canal. The balloon, also referred to as the hernia sac, is dissected off the spermatic cord and reduced into the internal ring.