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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. Strangulation can occur in all hernias, but is more common in femoral and inguinal hernias due to their narrow "weaknesses" in the abdominal wall.
The incidence of strangulation in femoral hernias is high. Repair techniques are similar for femoral and inguinal hernia. A Cooper's hernia is a femoral hernia with two sacs, the first being in the femoral canal, and the second passing through a defect in the superficial fascia and appearing almost immediately beneath the skin.
Ultrasound of an indirect hernia containing fat, with testicle seen at right. T2 weighted MRI of the same case (done for another purpose), also demonstrating fat content. Ultrasound showing an indirect inguinal hernia [18] Incarcerated inguinal hernia [19] An indirect inguinal hernia results from the failure of embryonic closure of the deep ...
[11] Peritoneal fat and lymphatic tissue that acts as a protective layer over the obturator canal will thin out over time, which results in a larger space between the nerves and vessels, creating the space for the hernia to occur. Additionally, conditions that increase intraabdominal pressure can result in relaxation of the peritoneum.
The femoral ring is oval-shaped, [1] with its long diameter being directed transversely and measuring about 1.25 cm. [1] The opening of the femoral ring is filled in by extraperitoneal fat, forming the femoral septum. [1] Part of the intestine can sometimes pass through the femoral ring into the femoral canal causing a femoral hernia.
A true cul-de-sac hernia contains only omental fat, and often intraperitoneal liquid. [6] If the hernia contains omentum, sometimes the term "omentocele" is used. [7] If the cul-de-sac hernia contains loops of small bowel, the term enterocele is used. [2] If it contains sigmoid colon, the term sigmoidocele is used. [2]
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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]
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