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The diagnosis is largely a clinical one, generally done by physical examination of the groin. However, in obese patients, imaging in the form of ultrasound, CT, or MRI may aid in the diagnosis. For example, an abdominal X-ray showing small bowel obstruction in a female patient with a painful groin lump needs no further investigation.
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]
An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down.
Groin hernias are most commonly inguinal hernias but may also be femoral hernias. [1] Other types of hernias include hiatus, incisional, and umbilical hernias. [6] Symptoms are present in about 66% of people with groin hernias. [1] This may include pain or discomfort in the lower abdomen, especially with coughing, exercise, or urinating or ...
Treatment for cystic hygroma involves the removal of the abnormal tissue; however, complete removal may be impossible without removing other normal areas. Surgical removal of the tumor is the typical treatment provided, with the understanding that additional removal procedures will most likely be required as the lymphangioma grows.
The diagnosis is based on the patient's sexual history and on physical examination revealing a painless, "beefy-red ulcer" with a characteristic rolled edge of granulation tissue. In contrast to syphilitic ulcers, inguinal lymphadenopathy is generally mild or absent. Tissue biopsy and Wright-Giemsa stain are used to aid in the diagnosis. The ...
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The difficulty of recognizing and diagnosing obturator hernias often leads to delays in treatment. Since surgical treatment of most cases is delayed, the obturator hernia potentially has the highest mortality rate of the abdominal wall hernias. [9] Studies have shown that if untreated, the mortality rate may range from 50-70%. [10]