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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.
It is more often seen in men, and predominantly on the right side. Maydl's hernia should be suspected in patients with large incarcerated herniae and in patients with evidence of intra-abdominal strangulation or peritonitis. Postural or manual reduction of the hernia is contra-indicated as it may result in non-viable bowel being missed. [2]
An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down.
Groin hernias account for almost 75% of all abdominal wall hernias with the lifetime risk of an inguinal hernia in men and women being 27% and 3% respectively. Men account for nearly 90% of all repairs performed and have a bimodal incidence of inguinal hernias peaking at 1 year of age and again in those over the age of 40. Although women ...
The diagnosis of hiatus hernias is often done by endoscopy. [3] Groin hernias that do not cause symptoms in males do not need immediate surgical repair, a practice referred to as "watchful waiting". [1] However most men tend to eventually undergo groin hernia surgery due to the development of pain. [1]
Amyand's hernia is rarely diagnosed preoperatively and the diagnosis typically occurs during surgery. Amyand's hernia is not always associated with physical, laboratory, or imaging examinations. [8] Even though it is practically impossible clinically, preoperative diagnosis of Amyand's hernia is possible with CT and ultrasound technology.
Detecting an inguinal hernia is typically characterized by a noticeable bulge in the groin or scrotum, which may vary in size. Hernias can emerge as strangulated hernia (an emergency situation) or reducible hernia (a less urgent condition). [30]
The hernia can typically only be detected when symptoms are present, so diagnosis requires positioning the woman's body in a way that provokes symptoms. Both internal hernias and umbilical hernias are more common in women than men. [2]