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An obturator hernia is a rare type of hernia, encompassing 0.07-1% of all hernias, [2] of the pelvic floor in which pelvic or abdominal contents protrudes through the obturator foramen. The obturator foramen is formed by a branch of the ischial (lower and back hip bone) as well as the pubic bone.
It occurs in patients with an obturator hernia, due to compression of the obturator nerve. [1] The adductor reflex is elicited by tapping over either the medial epicondyle of the femur or the medial condyle of the tibia, which should cause the adductor muscles of the hip to contract, moving the leg inwards. [2]
An obturator hernia is a type of hernia involving an intrusion into the obturator canal. The obturator nerve can be compressed in the obturator canal. [2] The obturator canal may be compressed during pregnancy and major traumatic injuries, causing obturator syndrome. [3]
Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. There are two different clusters of hernia: groin and ventral (abdominal) wall. Groin hernia includes femoral, obturator, and inguinal. [1]
An obstructed femoral hernia occurs when a part of the intestine involved in the hernia becomes twisted, kinked, or constricted, causing an intestinal obstruction. A strangulated femoral hernia occurs when a constriction of the hernia limits or completely obstructs blood supply to part of the bowel involved in the hernia.
obturator hernia: The Howship–Romberg sign is inner thigh pain on internal rotation of the hip. It can be caused by an obturator hernia. [1] [2] ...
An indirect hernia is situated laterally to these vessels, whereas a direct hernia is positioned medially to them. Inguinal hernias are the most common type of hernia in both men and women. In some selected cases, they may require surgery. There are special cases where a direct and indirect hernia appear together.
The entrance to the femoral canal is the femoral ring, through which bowel can sometimes enter, causing a femoral hernia.Though femoral hernias are rare, their passage through the inflexible femoral ring puts them at particular risk of strangulation, giving them surgical priority.