Femoral hernia

• In this type of hernia abdominal contents pass

through the femoral ring, traverses the femoral
canal and comes out through the saphenous
opening.
• FH is more common in females and accounts for
20% of cases of hernia. Only 5% of cases of
hernia in males are femoral hernia.
• FEMORAL HERNIA is most liable to get
strangulated.
•
Course of a Femoral Hernia:-
Femoral ring ---> Femoral canal ---> Saphenous
opening ---> Inguinal ligament

Coverings of the sac of the Femoral Hernia

:-

1.The skin
2.The superficial fascia
3.The cribriform fascia
4.Anterior layer of the femoral sheath
5.Fatty content of the femoral canal
6.Femoral septum
7.Peritonium
Rare cases of Femoral Hernia :-
 • Prevascular hernia
• Pectineal hernia
• External femoral hernia
• Lacunar hernia
Clinical Features:-
1.Age
2.Sex
3.Side

Symptoms :-
• Dragging type of pain
• Swelling
General symptoms – abdominal colic, vomiting,
abdominal distension, constipation

Local Examinations :-
• Position
• Size and shape
• Consistency
• To differentiate from inguinal hernia :
cough impulse, invagination test, ring
occlusion test, position

Treatment:-
No conservative treatment
Surgeries :- These are Herniorrhaphy with
different approaches :
1}High operation of McEvedy’s
operation.
2}Lotheissen’s operation.
3}Lockwood operation.