What Is Surgery - Femoral Hernia
Femoral hernia
Femoral sheath consists of femoral nerve, femoral artery, femoral vein and femoral canal from lateral to medial . The abdominal opening of the femoral canal is known as femoral ring.
Femoral ring is bounded by inguinal ligament anteriorly, Astley Cooper / ileopectineal ligament posteriorly, Gimbernat/ lacunar ligament medially and laterally the femoral vein.
Femoral hernia is caused by herniation of the bowel,fat or omentum through the femoral canal.
There are few variants of femoral hernia such as prevascular femoral hernia where the sac bulges down underneath the inguinal ligament in front of the femoral vessel.
Another variant is De Garengeot’s hernia where the appendix is incarcerated within a femoral hernia.
Generally femoral hernia may present with lump in the groin , dragging sensation, pain sensation and obstruction of the small bowel.
The complication of femoral hernia may include necrosis of the trapped bowel which lead to peritonitis.
Femoral hernia may present with lump in the groin. The lump is located below and lateral to the pubic tubercle which is medial to femoral artery. There will be obliteration of the crease of the inguinal skin.
The lump of the femoral hernia is firm, non reducible, smooth and spherical lump.
The lump will be tender in case of strangulated femoral hernia.
Femoral hernia containing strangulated bowel typically present with resonant percussion note and active bowel sound.
Femoral hernia has no cough impulses.
The treatment involved surgical repair of the femoral hernia. These include McEvedy ‘s high supra inguinal approach which involved segmental bowel resection. McEvedy’s high supra inguinal approach is used in emergency setting due to hernia strangulation.
Other technique may include Lockwood’s low infra inguinal approach for elective repair and Lotheissen’s trans- inguinal approach is used by dissecting through the inguinal ligament which may lead to inguinal hernia.
Lotheissen’s trans- inguinal approach is rarely done.
Femoral sheath consists of femoral nerve, femoral artery, femoral vein and femoral canal from lateral to medial . The abdominal opening of the femoral canal is known as femoral ring.
Femoral ring is bounded by inguinal ligament anteriorly, Astley Cooper / ileopectineal ligament posteriorly, Gimbernat/ lacunar ligament medially and laterally the femoral vein.
Femoral hernia is caused by herniation of the bowel,fat or omentum through the femoral canal.
There are few variants of femoral hernia such as prevascular femoral hernia where the sac bulges down underneath the inguinal ligament in front of the femoral vessel.
Another variant is De Garengeot’s hernia where the appendix is incarcerated within a femoral hernia.
Generally femoral hernia may present with lump in the groin , dragging sensation, pain sensation and obstruction of the small bowel.
The complication of femoral hernia may include necrosis of the trapped bowel which lead to peritonitis.
Femoral hernia may present with lump in the groin. The lump is located below and lateral to the pubic tubercle which is medial to femoral artery. There will be obliteration of the crease of the inguinal skin.
The lump of the femoral hernia is firm, non reducible, smooth and spherical lump.
The lump will be tender in case of strangulated femoral hernia.
Femoral hernia containing strangulated bowel typically present with resonant percussion note and active bowel sound.
Femoral hernia has no cough impulses.
The treatment involved surgical repair of the femoral hernia. These include McEvedy ‘s high supra inguinal approach which involved segmental bowel resection. McEvedy’s high supra inguinal approach is used in emergency setting due to hernia strangulation.
Other technique may include Lockwood’s low infra inguinal approach for elective repair and Lotheissen’s trans- inguinal approach is used by dissecting through the inguinal ligament which may lead to inguinal hernia.
Lotheissen’s trans- inguinal approach is rarely done.
