Chapter 35: Hernias- Femoral Hernias Flashcards
1
Q
What is it?
A
Hernia traveling beneath the inguinal ligament down the femoral canal medial to the femoral vessels
(Think: FM radio, or Femoral hernia = Medial)
2
Q
What are the boundaries of the femoral canal?
A
- Cooper’s ligament posteriorly
- Inguinal ligament anteriorly
- Femoral vein laterally
- Lacunar ligament medially
3
Q
What factors are associated with femoral hernias?
A
Women, pregnancy, and exertion
4
Q
What percentage of all hernias are femoral?
A
5%
5
Q
What percentage of patients with a femoral hernia are female?
A
85%!
6
Q
What are the complications?
A
Approximately one third incarcerate (due to narrow, unforgiving neck)
7
Q
What is the most common hernia in women?
A
Indirect inguinal hernia
8
Q
What is the repair of a femoral hernia?
A
McVay (Cooper’s ligament repair), mesh plug repair
