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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.
Just inferolateral to the pubic tubercle the fascia extends downwards forming an arched (falciform) margin of the lateral boundary of the opening. It is covered by a thin perforated part of the superficial fascia called the fascia cribrosa which is pierced by the great saphenous vein, the 3 superficial branches of the femoral artery (except superficial circumflex iliac artery, which pierces ...
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 ...
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]
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. Ultrasound image ...
The vascular lacuna (Latin: lacuna vasorum (retroinguinalis)) is the medial compartment beneath the inguinal ligament. [1] It is separated from the lateral muscular lacuna by the iliopectineal arch.
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.
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 ...
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