Chapter 35: Hernias- Femoral Hernias Flashcards

1
Q

What is it?

A

Hernia traveling beneath the inguinal ligament down the femoral canal medial to the femoral vessels

(Think: FM radio, or Femoral hernia = Medial)

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2
Q

What are the boundaries of the femoral canal?

A
  • Cooper’s ligament posteriorly
  • Inguinal ligament anteriorly
  • Femoral vein laterally
  • Lacunar ligament medially
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3
Q

What factors are associated with femoral hernias?

A

Women, pregnancy, and exertion

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4
Q

What percentage of all hernias are femoral?

A

5%

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5
Q

What percentage of patients with a femoral hernia are female?

A

85%!

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6
Q

What are the complications?

A

Approximately one third incarcerate (due to narrow, unforgiving neck)

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7
Q

What is the most common hernia in women?

A

Indirect inguinal hernia

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8
Q

What is the repair of a femoral hernia?

A

McVay (Cooper’s ligament repair), mesh plug repair

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