Femoral hernia pathophysiology: Difference between revisions
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==Pathophysiology== | ==Pathophysiology== | ||
===Pathogenesis<ref name="pmid25693015">{{cite journal |vauthors=Fitzgibbons RJ, Forse RA |title=Clinical practice. Groin hernias in adults |journal=N. Engl. J. Med. |volume=372 |issue=8 |pages=756–63 |year=2015 |pmid=25693015 |doi=10.1056/NEJMcp1404068 |url=}}</ref><ref>{{cite book | last = Doherty | first = Gerard | title = Current diagnosis & treatment : surgery | publisher = Lange Medical Books/McGraw-Hill | location = New York | year = 2010 | isbn = 978-0071635158 }}</ref><ref name="pmid21442431">{{cite journal |vauthors=Phillips AW, Aspinall SR |title=Appendicitis and Meckel's diverticulum in a femoral hernia: simultaneous De Garengeot and Littre's hernia |journal=Hernia |volume=16 |issue=6 |pages=727–9 |year=2012 |pmid=21442431 |doi=10.1007/s10029-011-0812-2 |url=}}</ref><ref name="pmid22162501">{{cite journal |vauthors=Whalen HR, Kidd GA, O'Dwyer PJ |title=Femoral hernias |journal=BMJ |volume=343 |issue= |pages=d7668 |year=2011 |pmid=22162501 |doi= |url=}}</ref>== | ===Pathogenesis<ref name="pmid25693015">{{cite journal |vauthors=Fitzgibbons RJ, Forse RA |title=Clinical practice. Groin hernias in adults |journal=N. Engl. J. Med. |volume=372 |issue=8 |pages=756–63 |year=2015 |pmid=25693015 |doi=10.1056/NEJMcp1404068 |url=}}</ref><ref>{{cite book | last = Doherty | first = Gerard | title = Current diagnosis & treatment : surgery | publisher = Lange Medical Books/McGraw-Hill | location = New York | year = 2010 | isbn = 978-0071635158 }}</ref><ref name="pmid21442431">{{cite journal |vauthors=Phillips AW, Aspinall SR |title=Appendicitis and Meckel's diverticulum in a femoral hernia: simultaneous De Garengeot and Littre's hernia |journal=Hernia |volume=16 |issue=6 |pages=727–9 |year=2012 |pmid=21442431 |doi=10.1007/s10029-011-0812-2 |url=}}</ref><ref name="pmid22162501">{{cite journal |vauthors=Whalen HR, Kidd GA, O'Dwyer PJ |title=Femoral hernias |journal=BMJ |volume=343 |issue= |pages=d7668 |year=2011 |pmid=22162501 |doi= |url=}}</ref>=== | ||
*Although groin hernias are much more common in men, femoral hernias occur more frequently in women. | *Although groin hernias are much more common in men, femoral hernias occur more frequently in women. | ||
*Femoral hernias tend to carry a much higher risk of strangulation and watchful waiting is not recommended in women. | *Femoral hernias tend to carry a much higher risk of strangulation and watchful waiting is not recommended in women. | ||
Revision as of 21:11, 18 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
Pathophysiology
Pathogenesis[1][2][3][4]
- Although groin hernias are much more common in men, femoral hernias occur more frequently in women.
- Femoral hernias tend to carry a much higher risk of strangulation and watchful waiting is not recommended in women.
- A femoral hernia is the protrusion of the peritoneal sac posterior and inferior to the inguinal ligament and it is medial to the femoral vessels.
- The hernia sac can contain preperitoneal fat, omentum or small bowel.
- Femoral hernias typically have a narrow neck, which predisposes them to incarceration and the need for emergent surgery.
- De Garengeot hernia is a type of femoral hernia that contains the appendix.
- Littre hernia is an uncommon type of femoral hernia that contain a Meckel's diverticulum.
Genetics
- [Disease name] is transmitted in [mode of genetic transmission] pattern.
- Genes involved in the pathogenesis of [disease name] include [gene1], [gene2], and [gene3].
- The development of [disease name] is the result of multiple genetic mutations.
Associated Conditions
Gross Pathology
- On gross pathology, [feature1], [feature2], and [feature3] are characteristic findings of [disease name].
Microscopic Pathology
- On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of [disease name].
References
- ↑ Fitzgibbons RJ, Forse RA (2015). "Clinical practice. Groin hernias in adults". N. Engl. J. Med. 372 (8): 756–63. doi:10.1056/NEJMcp1404068. PMID 25693015.
- ↑ Doherty, Gerard (2010). Current diagnosis & treatment : surgery. New York: Lange Medical Books/McGraw-Hill. ISBN 978-0071635158.
- ↑ Phillips AW, Aspinall SR (2012). "Appendicitis and Meckel's diverticulum in a femoral hernia: simultaneous De Garengeot and Littre's hernia". Hernia. 16 (6): 727–9. doi:10.1007/s10029-011-0812-2. PMID 21442431.
- ↑ Whalen HR, Kidd GA, O'Dwyer PJ (2011). "Femoral hernias". BMJ. 343: d7668. PMID 22162501.