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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.
An obturator hernia is a rare type of hernia, encompassing 0.07-1% of all hernias, [2] of the pelvic floor in which pelvic or abdominal contents protrudes through the obturator foramen. The obturator foramen is formed by a branch of the ischial (lower and back hip bone) as well as the pubic bone.
The pubic tubercle is a useful landmark for identifying hernias. [5] An inguinal hernia will lie anteromedial to the pubic tubercle. [5] A femoral hernia will lie inferolateral to the pubic tubercle. [5]
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.
Inguinal hernias occur when abdominal tissue protrudes through a weakness in the abdominal wall, explains Dr. Mercola. “These typically cause pain in the lower abdomen or groin, especially ...
Inguinal hernias, in turn, belong to groin hernias, which also includes femoral hernias. A femoral hernia is not via the inguinal canal, but via the femoral canal, which normally allows passage of the common femoral artery and vein from the pelvis to the leg. In Amyand's hernia, the content of the hernial sac is the appendix.
When the obturator artery travels along the lacunar ligament, it nearly encircles the femoral ring and can be lacerated during a femoral hernia repair. Most femoral hernias are repaired through a small (1/2 to 3/4 inch) incision in the groin area, rather than through the abdomen, so if a laceration were to occur, bleeding may not be immediately ...
This structure demarcates the superior border of the femoral triangle. [4] It demarcates the inferior border of the inguinal triangle. The midpoint of the inguinal ligament, halfway between the anterior superior iliac spine and pubic tubercle, is the landmark for the femoral nerve.
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