Femoral hernia Flashcards
What is a femoral hernia?
when an abdominal viscera or momentum pass through the femoral ring into the femoral canal
Who are femoral hernia more common in?
women
What does the femoral canal contain?
lymph vessels, lymph nodes and connective tissue
What are the borders of the femoral canal?
femoral ring, inguinal ligament, pectinous,, femoral vein and lacunar ligament
What are the risk factors for a femoral hernia?
Female, pregnancy, raised intrabdominal pressure, increasing age
What are the clinical features of a femoral hernia?
small lump in the groin but 30% present as an emergency as obstruction or strangulation
Where are femoral hernias found?
inferno-lateral to the pubic tubercle
Where are inguinal hernias found?
superomedial to the pubic tubercle
Why is the femoral hernia unlikely to be reducible?
tightness of the femoral ring
What are the differential diagnosis for a femoral hernia?
inguinal hernia, femoral canal lipoma, lymph node, saphena varix, femoral artery aneurysm, athletic pubalgia
What is the gold standard for diagnosing femoral hernia?
ultrasound can
What is the management for femoral hernias?
surgical management 2-4weeks after presentation due to the high risk of strangulation- low or high approach (inguinal ligament above or below)
What are the complications of a femoral hernia?
strangulation, obstruction, if acute presentation then 20x higher morbidity than elective surgery
