Femoral hernia surgery: Difference between revisions

	Femoral hernia Microchapters
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Revision as of 19:53, 6 February 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]

Overview

Surgery is the mainstay of treatment for femoral hernia.

Indications

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]

Surgery

Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

References

Template:WH Template:WS

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Femoral hernia}}
-{{CMG}}
+{{CMG}}; {{AE}} {{MKA}}
 ==Overview==
-Femoral hernias like most other hernias need operative intervention. This should ideally be done as an elective procedure. However, because of the high incidence of complications femoral hernias often need emergency surgery.
+Surgery is the mainstay of treatment for femoral hernia.
+==Indications==
+*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
+**[Indication 1]
+**[Indication 2]
+**[Indication 3]
 ==Surgery==
-Surgery may be performed under general or regional anaesthesia. Three approaches have been described.
+*Surgery is the mainstay of treatment for [disease or malignancy].
-* Lockwood’s infra-inguinal approach
-* Lotheissen‘s trans-inguinal approach
-* McEvedy’s high approach
-The infra-inguinal approach is the preferred method for elective repair. The trans-inguinal approach involves dissecting through the inguinal canal and carries the risk of weakening the inguinal canal. McEvedy’s approach is preferred in the emergency setting when strangulation is suspected. This allows better access to and visualisation of bowel for possible resection. In any approach care should be taken to avoid injury to the urinary bladder which is often a part of the medial part of the hernial sac.
+==Contraindications==
-Repair is either performed by suturing the [[inguinal ligament]] to the [[pectineal ligament]] using strong non-absorbable sutures or by placing a mesh plug in the femoral ring. With either technique care should be taken to avoid any pressure on the [[femoral vein]].
+==References==
+{{Reflist|2}}
-===Postoperative Outcome===
+{{WH}}
-Patients undergoing elective repair do very well and may be able to go home the same day. However, emergency repair carries a greater morbidity and mortality rate and this is directly proportional to the degree of bowel compromise. Patient's other co-existing medical conditions also influence outcome.
+{{WS}}
-==References==
-{{reflist|2}}
+[[Category:Surgery]]
 [[Category:Gastroenterology]]
+[[Category:Up-To-Date]]
-{{WS}}
+[[Category:Emergency medicine]]
-{{WH}}

Femoral hernia surgery: Difference between revisions

Revision as of 19:53, 6 February 2018

Overview

Indications

Surgery

Contraindications

References

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