femoral hernia

Question 1

what does the femoral triangle consist of?

Answer 1

1. superior - inguinal ligament
2. medial - medical border of the adductor longus muscle
3. laterally - medical border of sartorius muscle

Question 2

describe the passage of the femoral hernia

Answer 2

1. protrusion of a peritoneal sac through the femoral canal which is a weak point in the abdomen
2. posterior and inferior to the inguinal ligament

Question 3

femoral canal borders -

Answer 3

1. below inguinal ligament/lateral to pubic tuberacle
2. medial - lacunar ligament
3. laterally - femoral vein

Question 4

signs and symptoms

Answer 4

1. groin lump/bulge

Question 5

Clinical features of femoral hernia

Answer 5

1. femoral canal is narrow thus high risk of
   - irreducible
   - strangulation
2. more commen in elderly women

Question 6

What is richter’s hernia?

Answer 6

anti mesenteric wall of the intestine protrudes through a defect in the abdominal wall

• only one intestinal wall protrudes through the defect

Question 7

Mx of femoral hernia

Answer 7

1. repaired by excision of sac and closure of the femoral canal

Question 8

what are the clinical features of richter’s hernia?

Answer 8

1. only part of the intestinal wall herniates
2. lumen of the bowel is not obstructed - symptoms of intestinal obstruction do not occur
3. necrosis still occurs and perforation of the bowel wall results in peritonitis