An evaluation of the strength of the posterior wall of the inguinal canal in women

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Abstract
In the period 1945–71, 124 women with primary direct inguinal hernia were operated upon. During the same period indirect inguinal hernias in women were noted to be thirteen times more common than the direct type. The commonest site of protrusion of the direct hernia was immediately medial to the inferior epigastric artery. In contrast, in a series of 110 women with recurrent inguinal hernia the majority of the hernias were direct and, of these, most were either situated medially in the posterior wall of the inguinal canal or involved the whole posterior wall.

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