1. Causes of femoral hernia
2. Types of hernias
4. Complications of femoral hernia
5. Treatment of femoralhernia
femoral hernia - a loss of part of the intestine or omentum through the femoral canal outside the anterior abdominal wall.This rare kind of hernia can occur in children during the first year of life due to the physiological weakness of the connective tissue or in adults aged 40 to 60 years due to the weakening of the femoral ring.In connection with the physiological structure of the pelvis, femoral hernia in women occurs 4 times more often than men.
The share of femoral hernias account for only 5-8% of all hernias.By such a pathology generally results in a weakening of the abdominal wall, which in turn may be due to two groups of reasons:
- Attenuation of the abdominal wall.This group includes such negative factors as the hereditary weakness of the abdominal wall of the connective tissue, rapid weight loss, abdominal trauma, post-surgical scars and nerve paralysis of the abdominal wall.
- Increased intra-abdominal pressure.For reasons of pathology are physical stress, difficulty urinating, constipation and prolonged cough.
But in addition to these factors, there are also reasons for the formation of a hernia, different for men and women.
Femoral hernia in men most commonly occurs on the background of physical overexertion, and for the displacement of internal organs, a single lifting.Externally hernia appears as a protrusion of the tumor on the border of the groin and thigh and is accompanied by pain.Femoral hernia in men does not appear immediately.First, with a strong physical exertion occur stitching, over time, they are amplified, some time during physical activity emerges protrusion, which disappears at rest.Further development in men femoral hernia causes the intestine that the shifting part and the caul reduce a stop into the peritoneal cavity and its shape is not changed until the appearance of complications.
femoral hernia in women occurs more frequently, at least because of the weaker sex by virtue of the anatomical features of the pelvis is much broader.This means, at least, a greater number of potentially vulnerable areas under the inguinal ligament.Femoral hernia in women may also be associated with the depletion of the body after pregnancy, chronic constipation.
Depending on the structure of the hernia sac, femoral hernias are divided into single-chamber and multi-chambered.Single Door have one hernial sac, multi - several formations.
Depending on the stage of the disease, hernias are divided into primary, incomplete and complete.The initial stage is called a hernia development of education in which there is a protrusion that has not yet reached the inner femoral ring.With incomplete hernia protrusion beyond the femoral ring, but it does not cross the subcutaneous fat thigh area.Finally, the third stage - a complete hernia, when the protrusion is located in the subcutaneous tissue of the femoral triangle.
Femoral hernia in men and women are well diagnosed even at early stages.In the initial stages of development and under-the main symptom of a hernia - a discomfort in the groin or lower abdomen.When walking, running or weight lifting pain increases.Sometimes, hernia at first did not bother the patient.But complete hernia stage it is difficult to ignore, since at this point there is a marked protrusion hemispherical shape, usually of small dimensions and with a smooth surface.In a standing position, and when it bulges nastuzhivanii, after reduction with a characteristic rumbling disappears.
If the hernial sac are intestinal loops, there is a strong bloating.If the hernia compresses the femoral vein, the patient may develop swelling and numbness of lower limbs.When the hernial sac falls bladder, observed dizuricheskie disorder.
women and men may lead to complications such as inflammation, impairment and coprostasia.Inflammation of the femoral hernia can be serous or purulent.In this first process involves inflammatory herniated contents, and it may be loops intestines, uterus, appendages, appendix and other internal organs.In rare cases, the inflammation spreads from the skin to the hernial sac.Externally inflammation is manifested as edema, blood flow to the skin, pain, elevated temperature.In advanced cases may develop peritonitis.Coprostasia is a stagnation of the large intestine contents.
most common and dangerous complication - a strangulated femoral hernia.This is a condition in which impaired blood supply and innervation of organs, penetrating into the hernial contents.Infringement of femoral hernia is dangerous because the pathology increases in size, defies reposition becomes dense.Palpation hernia causes the patient great pain, develops delayed stool and gas.With long-term infringement of femoral hernia with intestinal loops develops intestinal obstruction and in extreme cases - necrosis of the organs.With the development of ileus pains are growing, finding cramping in nature.Sick sick, vomiting, hiccups, he continuously.The vomit gastric contents may appear, then take bile, and then fecal odor.In the future, the development of peritonitis, the abdomen becomes tense, swollen, the patient's facial features sharpened, temperature and heart rate jumps, and the pressure drops.
When running strangulated femoral hernia patients die from peritonitis and intoxication.If the infringement of the gland the main symptom - a pain, but sometimes there is a reflex vomiting, and obstruction and peritonitis absent.Infringement of the bladder is accompanied by symptoms such as painful and frequent urination, and a small amount of urine excretion.
infringement femoral hernia requires timely and prompt surgical intervention.
Femoral hernia - a condition in which drug therapy does not bring effect.operation is required for the treatment of femoral hernias, which includes the selection, opening, removing the hernia sac, reduction of its content and the closure of the defect.In children, surgery is performed under general anesthesia in adults - under local.
Operative treatment of femoral hernia can be performed using local fabrics, plastics or using synthetic prostheses.Tummy local tissues is nonabsorbable suturing thread defect, with the supporting framework are the patient's own tissue.Treatment of femoral hernias using mesh prosthesis requires suturing of the femoral canal.The synthetic prosthesis at the same time can be placed preperitoneal.
With timely treatment of femoral hernias favorable prognosis.After a three-day hospital stay and in the absence of complications the patient is gradually returning to normal life.Two weeks later, he removed the seams and prescribe preventive measures, which include strengthening the muscles of the anterior abdominal wall, but with loads of dosage as overvoltage may cause a relapse.
This article is available exclusively in the educational purposes and is not research material or professional medical advice.
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