Femoral hernia

• In this type of hernia abdominal contents pass through the femoral ring, traverses the femoral canal and comes out through the saphenous opening. • FH is more common in females and accounts for 20% of cases of hernia. Only 5% of cases of hernia in males are femoral hernia. • FEMORAL HERNIA is most liable to get strangulated. •

Femoral ring ---> Femoral canal ---> Saphenous opening ---> Inguinal ligament

Course of a Femoral Hernia:-

Coverings of the sac of the Femoral Hernia :1.The skin 2.The superficial fascia 3.The cribriform fascia 4.Anterior layer of the femoral sheath 5.Fatty content of the femoral canal 6.Femoral septum 7.Peritonium

Rare cases of Femoral Hernia :-

• • • •

Prevascular hernia Pectineal hernia External femoral hernia Lacunar hernia

Clinical Features:-

1.Age 2.Sex 3.Side

• Dragging type of pain • Swelling General symptoms – abdominal colic, vomiting, abdominal distension, constipation

Symptoms :-

• • • •

Position Size and shape Consistency To differentiate from inguinal hernia : cough impulse, invagination test, ring occlusion test, position

Local Examinations :-

Treatment:-

No conservative treatment Surgeries :- These are Herniorrhaphy with different approaches : 1}High operation of McEvedy’s operation. 2}Lotheissen’s operation. 3}Lockwood operation.

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