More Related Content Similar to Femoral Hernias Similar to Femoral Hernias (20) More from Mansoor Khan (20) Femoral Hernias1. Laugier’s femoral hernia Narath’s femoral hernia Cloquet’s hernia Hydrocele of the femoral hernia Hydrocele of the femoral hernia Hydrocele of the femoral hernia Hydrocele of the femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Hydrocele of the femoral hernia Hydrocele of the femoral hernia Hydrocele of the femoral hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Cloquet’s hernia Laugier’s femoral hernia Hydrocele of the femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Laugier’s femoral hernia Hydrocele of the femoral hernia Hydrocele of the femoral hernia Laugier’s femoral hernia Cloquet’s hernia Dr. Mansoor Khan, MBBS, FCPS I, Resident Surgery Dr. Mohammad Zarin, FCPS, MRCS, FMAS Khyber Teaching Hospital Peshawar, Pakistan 2009 8 12 3. A femoral hernia is when abdominal Contents pass through a naturally occurring weakness called the femoral canal. 4. 3 rd Most common primary hernia 20% female hernias 5% of male hernias 2 times more common on right side 20% cases it is bilateral 6. Strangulation narrowness and rigidity of the canal– 40% present as strangulation Truss does not help--- contraindicated 8. Potential space in medial portion of femoral sheath 1.25 cm long 1.25 cm wide Femoral ring covered by septum crurale (above) Saphenous opening covered by cribriform fascia (below) 10. Lateral --- Femoral vein in femoral sheath Medial --- Lacunar ligament (Gimbernat’s) Anterior – Inguinal ligament (Poupart) Posterior – Iliopectineal ligament (Astley Cooper’s) Femoral ring 11. Elderly , multi-parous women Dragging pain & groin lump 40% present with strangulation Rare before puberty 16. Saphena varex: positive cough impulse make them similar, fluid thrill, hum on auscultation, disappearance when supine and presence of varicose veins differentiates it from femoral hernia 19. Hydrocele of the femoral hernia sac when neck is blocked by contents or adhesions 24. Think as a Surgeon… WHEN TREATING FEMORAL HERNIA