In the area of the femoral triangle, a man has a multitude of canals, tendons and ligaments, which play a significant role in ensuring the normal vital activity of the body. In the case where the connective tissue of the abdominal wall is physiologically weak, organs located in the lower part of the abdominal cavity (intestinal loops, large omentum) leave the femoral canal and femoral hernia is formed.
Symptoms of the femoral hernia
The femoral hernia in both women and men has the same symptomatology. In the beginning there is an unpleasant feeling in the lower abdomen and in the area of the inner thighs. And the symptoms increase with physical activity. After some time, under the skin appears a tubercle, especially noticeable in situations where it is necessary to push (when lifting the gravity, the act of defecation), while the fallen part is easy to fix yourself. After manipulation, protrusion disappears, while a characteristic rumbling is heard. Sometimes there may be swelling of the lower limb on the side of the body where the hernia is located, and an increase in temperature.
Complications of the disease include:
- peritonitis - inflammation of the peritoneum;
- strangulated femoral hernia, which can lead to necrosis of the organs;
- coprostasis - stasis of feces in the intestine.
It is important to differentiate the femoral hernia from diseases with similar symptoms (lipomas, thrombophlebitis , varicose veins, oncological formations, etc.) To do this:
- X-ray of the rectum;
- Ultrasound of the bladder, ovaries, hernia itself;
- examination by means of herniography - X-ray method, in which a contrast substance is injected into the abdominal cavity.
Treatment of femoral hernia
Experts emphasize: in case of detection of the disease without surgical intervention can not do! With a femoral hernia, a hernia operation is performed followed by a defect plasty. There are several methods of conducting the operation, but all of them
Under plastic surgery with femoral hernia is meant the use of own peritoneal tissues to create a framework and suturing the femoral canal with a special non-absorbable thread.
Plastic can also be made using a synthetic mesh. In this case, the femoral canal is not sutured.
With a strangulated femoral hernia, a median laparotomy is shown, aimed at removing part of the intestine.