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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.
A femoral hernia develops when inner tissue protrudes from a hole in the thigh called the femoral canal. Folks with femoral hernias often have severe pain and a noticeable bulge. ... Women have a ...
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.
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.
Although women account for roughly 70% of femoral hernia repairs, indirect inguinal hernias are still the most common subtype of groin hernia in both males and females. [14] Inguinal hernia surgery is also one of the most common surgical procedures, with an estimated incidence of 0.8-2% and increasing up to 20% in preterm children. [15] [16]
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]
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.
The femoral canal is the medial (and smallest) compartment of the three compartments of the femoral sheath. It is conical in shape. It is conical in shape. The femoral canal contains lymphatic vessels , and adipose and loose connective tissue , as well as - sometimes - a deep inguinal lymph node .
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