A peritoneal fold and potential bursal space at the internal inguinal ring where the peritoneum reflects over the deep inguinal ring, forming the lateral inguinal fossa. This space is the entry point for indirect inguinal hernia and contains the processus vaginalis remnant in males.
The internal inguinal ring bursal space is the anatomical basis for indirect inguinal hernia, where the peritoneal sac (often a patent processus vaginalis) protrudes through the ring. High ligation of the hernia sac at the internal ring is the key step in laparoscopic hernia repair (TEP/TAPP). The inferior epigastric vessels mark the medial border of the ring, separating indirect (lateral) from direct (medial) hernias in Hesselbach's triangle.
Peritoneal protrusion through the internal inguinal ring following the path of the processus vaginalis, producing a reducible groin lump that extends toward the scrotum, repaired laparoscopically by high internal ring ligation and mesh reinforcement.
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