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A strangulated femoral hernia occurs when a constriction of the hernia limits or completely obstructs blood supply to part of the bowel involved in the hernia. Strangulation can occur in all hernias, but is more common in femoral and inguinal hernias due to their narrow "weaknesses" in the abdominal wall.
Due to the rarity of an obturator hernia, multiple other illnesses may be considered and ruled out before arriving at the diagnosis of an obturator hernia. Intestinal obstruction is the most common other illness that medical teams may suspect a person has, alongside small bowel obstruction, colon cancer , and small bowel hernia.
The incidence of strangulation in femoral hernias is high. Repair techniques are similar for femoral and inguinal hernia. A Cooper's hernia is a femoral hernia with two sacs, the first being in the femoral canal, and the second passing through a defect in the superficial fascia and appearing almost immediately beneath the skin.
Atlas image: abdo_wall65 at the University of Michigan Health System - "The Coverings of the Inguinal Canal, External & Internal Oblique & Transversus Abdominis Removed" pelvis at The Anatomy Lesson by Wesley Norman (Georgetown University) (pelvissuperior2, pelvislateral, pelvisinside) Photo at nysora.com; Photo of dissection at chula.ac.th
The lacunar ligament is the only boundary of the femoral canal that can be cut during surgery to release a femoral hernia. Care must be taken when doing so as up to 25% of people have an aberrant obturator artery (corona mortis) which can cause significant bleeding. [4]
The midpoint of the inguinal ligament, halfway between the anterior superior iliac spine and pubic tubercle, is the landmark for the femoral nerve. The mid-inguinal point, halfway between the anterior superior iliac spine and the pubic symphysis, is the landmark for the femoral artery.
The femoral ring is the opening at the proximal, abdominal end of the femoral canal, [1] and represents the (superiorly directed/oriented [1]) base of the conically-shaped femoral canal. [1] The femoral ring is oval-shaped, [ 1 ] with its long diameter being directed transversely and measuring about 1.25 cm. [ 1 ] The opening of the femoral ...
In human anatomy, the groin, also known as the inguinal region or iliac region, [1] is the junctional area between the torso and the thigh. [2] The groin is at the front of the body on either side of the pubic tubercle , where the lower part of the abdominal wall meets the thigh.