- Varieties of femoral hernia
- Causes of femoral hernias
- Symptoms of femoral hernias
- Possible complications
- The diagnosis of femoral hernias
a protrusion in the lower abdomen (near the hip) caused by the displacement of internal organs in the abdominal wall typically accompanied with pain, aggravated by stress. The disease is highly susceptible to surgical therapy, but delayed treatment to a surgeon may lead to the development of irreducible forms.
Varieties of femoral hernia
Currently, the most significant from the therapeutic point of view the method of classification of such diseases as femoral hernia, it is possible to consider the distribution of the types of character pathology. Experts are primarily opravenie hernia is a protrusion gryzenia in the early stages of development, where a hernia can easily reduce back on and appears again gradually or when a significant physical exertion. Another variation of the femoral hernia is irreducible form of the disease, characterized by either partial ability to fix the hernia, or the lack of such possibility. This form of the disease usually associated with the appearance of pain that occurs when you try to fix the hernia, or during severe stress. The third kind of the running of the femoral protrusion is strangulated form of the disease that develops because of compression of the hernia tissue. The restrained variety of the disease that can cause acute obstruction, necrosis, peritonitis, or even gangrenous inflammation of the colon.
Causes of femoral hernias
If the body is healthy, the femoral canal, which can occur protrusion is absent. His education results due to a number of reasons, the weakening of the abdominal wall. Hernial SAC starts at the femoral vein and femoral canal, goes to the front of the thigh, with femoral hernia in women occurs with greater frequency. The specifics of the anatomy of the female body, namely, a wider pelvis, determine a less durable fabric and more space for the formation of the hernia SAC, usually below the inguinal ligament. Among the driving forces contributing to the development of the disease, due to the weakening of the abdominal wall can be distinguished in the first place is a genetic weakness of the tissues, which leads to the formation of the disease in babies first years. The increase in the risk of disease also contributes to the rapid weight loss, mechanical injury, scarring (result of surgery) and disorders in the nervous system. Femoral hernia can be stimulated by the increase in intra-abdominal pressure due to, for example, physical activity in men, difficult defecation and urination, and chronic cough (smokers).
Symptoms of femoral hernias
Visible symptom development of femoral hernia, particularly in the early stages of the disease, is the observation of a small tumor-like protrusions in the area of the inguinal folds. In the form of the disease this symptom may disappear or be much less noticeable when the patient takes the supine position. Further progress of the femoral hernia can be characterized by pain in the hip joints, escalating not only under load but also when walking or when the weather changes.
Timely access to a doctor can help to neutralize the disease and its consequences, however, if treatment is not started in time, it is possible to progress a number of complicated forms. At advanced stages of femoral hernia increases the likelihood of infringement of growing protrusions, for example, the sudden compression or squashing of the body of the hernia into the femoral canal. Femoral hernia can become inflamed under the influence of various inflammations of the body, especially those that affect the bodies, partially or completely trapped in the hernia SAC. Femoral hernial protrusion disrupts the normal arrangement of internal organs, so perhaps the development of coprostasis, due to stagnant accumulations of feces in the colon.
Strangulated femoral hernia requires immediate surgical intervention, and under the supervision of some of the symptoms requires immediate medical attention. Among these manifestations, requires special attention to the presence of blood in the feces with disturbed defecation, and difficulty removing gases from the intestines. In addition, attention and ambulance require such symptoms as nausea, retching, acute pain in the inguinal folds, and the inability to reduce the protrusion of slight movement.
The diagnosis of femoral hernias
In General, this characterizes the violation of the hernial quite unpredictable development, which is able to a sudden worsening in contrast to, for example, inguinal hernias, which are easier to diagnosis. The primary and mandatory diagnostic event, in the detection of symptoms of disorder is to immediately visit a surgeon who will prescribe the further studies after a detailed inspection and survey of the patient. For specialized and accurate diagnosis of the disease, apply a number of radiologic studies, particularly barium enema and gerniografii (x-ray entering into the patient a contrast agent). In diagnostic analysis of development of the disease can be extremely effective ultrasound examination, the hernia of education and of the genitourinary system.
The most effective surgical therapy plastic femoral hernia carried out in the hospital. Treatment of femoral hernia is carried out with the use of hernioplasty ( classic plastic uses your own tissue), which involves the stitching of the hernia SAC a synthetic thread that dissolves over time. Also, instead of suturing the defect through local tissue of the patient, the conduit made of synthetic mesh, which blocks the femoral canal, at the beginning of the hernia SAC. A very important role in preventing the development of this hernia of the disease plays an prevention of risky circumstances. Among the measures that can reduce the risk of developing the disease and its complications is isolated, for example, application of bandages during pregnancy and a significant physical activity, balanced diet, neat and consistent physical therapy of the muscles of the lower abdomen, timely therapy of diseases of the intestine and urogenital tract, as well as Smoking cessation to prevent chronic cough.