Femoral Hernia Containing the Right Fallopian Tube: A Rare Finding.

Femoral hernias comprise a small proportion of all groin hernias. They are more common in women and have a high rate of incarceration and strangulation, leading to emergency repair. A 61-year-old female patient was admitted to the emergency department complaining of a 2-day painful lump in the right groin, that had become more intense in the last 24 hours. Physical examination suggested the presence of a strangulated femoral hernia, and the patient underwent emergency surgical repair. Intraoperatively, the right fallopian tube was observed in the hernia sac. Since there were no signs of ischemia, the tube was reduced back into the pelvic cavity and the hernia was repaired. The postoperative period was uneventful, and the patient was discharged without complications, 3 days after surgery.

As hérnias femorais representam uma pequena fração de todas as hérnia da região inguinal. Elas são mais comuns entre as mulheres e estão associadas a elevadas taxas de complicações, como encarceramento e estrangulamento, com necessidade de cirurgia urgente. Uma paciente do sexo feminino, de 61 anos, recorreu ao serviço de emergência por quadro de dor e tumefação da região inguinal direita com 2 dias de evolução e agravamento nas últimas 24 horas. O exame objetivo sugeria a presença de uma hérnia femoral encarcerada, e a paciente foi submetida a cirurgia urgente. Intraoperatoriamente, confirmou-se o diagnóstico de hérnia femoral encarcerada, que continha a trompa de falópio direita no interior do saco herniário. Uma vez que a que a trompa não apresentava sinais de isquemia, o conteúdo da hérnia foi reduzido, e procedeu-se à sua reparação. O período pós-operatório decorreu sem intercorrências, e a paciente teve alta no 3° dia após a cirurgia.

Femoral hernia containing the right fallopian tube: a rare finding / Hérnia femoral contendo a trompa de falópio direita: um achado raro

Abstract Femoral hernias comprise a small proportion of all groin hernias. They are more common in women and have a high rate of incarceration and strangulation, leading to emergency repair. A 61-year-old female patient was admitted to the emergency department complaining of a 2-day painful lump in the right groin, that had become more intense in the last 24 hours. Physical examination suggested the presence of a strangulated femoral hernia, and the patient underwent emergency surgical repair. Intraoperatively, the right fallopian tube was observed in the hernia sac. Since there were no signs of ischemia, the tube was reduced back into the pelvic cavity and the hernia was repaired. The postoperative period was uneventful, and the patient was discharged without complications, 3 days after surgery.

Resumo As hérnias femorais representamuma pequena fração de todas as hérnia da região inguinal. Elas são mais comuns entre as mulheres e estão associadas a elevadas taxas de complicações, como encarceramento e estrangulamento, com necessidade de cirurgia urgente. Uma paciente do sexo feminino, de 61 anos, recorreu ao serviço de emergência por quadro de dor e tumefação da região inguinal direita com 2 dias de evolução e agravamento nas últimas 24 horas. O exame objetivo sugeria a presença de uma hérnia femoral encarcerada, e a paciente foi submetida a cirurgia urgente. Intraoperatoriamente, confirmou-se o diagnóstico de hérnia femoral encarcerada, que continha a trompa de falópio direita no interior do saco herniário. Uma vez que a que a trompa não apresentava sinais de isquemia, o conteúdo da hérnia foi reduzido, e procedeu-se à sua reparação. O período pós-operatório decorreu sem intercorrências, e a paciente teve alta no 3° dia após a cirurgia.

Open-tension free three-dimensional Cooper ligament repair for femoral hernia.

BACKGROUND: The objective of this study was to investigate the outcome of modified three-dimensional (3D) anterior polypropylene mesh technique for recurrent inguinal and femoral hernias. METHODS: This study was designed as a prospective cohort clinical trial and 75 patients with femoral hernia and/or recurrent hernia were recruited between 2005 and 2014. Patients were operated upon using a modified 3D anterior polypropylene mesh technique. RESULTS: Sixty-three femoral and 12 recurrent hernias in 75 patients were treated by a single surgeon through a 9-year period using a modified 3D polypropylene mesh, fashioned by the same surgeon. Forty-six female and 29 male patients, with a mean age of 43.6 years, were evaluated for postoperative chronic pain, wound issues, and recurrences. Any complications or complaints were recorded through office visits and by telephone calls. Urinary retention in one patient and wound infections in two patients were treated within 2 weeks postoperatively. Six patients had wound swelling (2 patients with hematoma and 4 with seroma) in early term (2 weeks to 2 months) and were treated by simple drainage and compression. No chronic pain or recurrent hernia was detected. CONCLUSION: Modified 3D anterior polypropylene mesh technique allows anatomical support for the potential hernia area and can be confidently applied with low morbidity and recurrence rate.

An unusual form of groin hernia - a case report.

An unusual case of femoral hernia in a tribal female patient is presented which has been left completely unattended and uncared and hence undiagnosed until bizarre complication prompted medical and surgical intervention and finally this reporting. The 37 years old tribal woman presented with an eviscerated small intestine through an opening in the right lower abdominal wall. The eviscerated gut was in fact an intussuscepted portion of the intestine. She was operated upon. The gut was manipulated to get reduced into abdomen. The wound was left open after necessary debridement. It developed healthy graunlation tissue afterwards. Her postoperative recovery was uneventful.

[Surgical treatment of bilateral hernias of the inguinofemoral area].

Consecutive surgical treatment of bilateral hernias leads to the appearance of recurrences in 67% of the operated patients. An important etiological moment of the appearance of the repeated, by turns recurrences in the two-steps elimination of a bilateral inguinal hernia is the symptom of tension and pulling the lateral muscles of the abdomen from one side to the other. The proposed method of a one-step surgical treatment, using the suprapubic access by the developed technique, allows reduction of recurrences to 2.2%.

[Femoral hernia]. / Hernie fémorale.

A femoral hernia descends through the femoral canal beneath the inguinal ligament. Rare in man, it occurs in women over 50. It can be difficult to recognize and any symptoms of the groin may rise the diagnosis. Strangulation is a frequent (often first) manifestation of femoral hernia. Early diagnosis is important to avoid intestinal resection, a source of morbidity and mortality. Surgical treatment is mandatory for all diagnosed femoral hernia.

[Crural hernia, strangulation and surgical treatment]. / Hernies crurales, leur étranglement et leur traitement chirurgical.

Anatomical reasons explain that the diagnosis of femoral hernia is sometimes difficult, that controversies still exist on their treatment and that their strangulation is often ignored. The authors propose some remarks on the anatomy of the femoral canal and the femoral hernias, the repair of the latter, and some of the problems related to strangulating. They conclude that research on the femoral canal and hernias anatomy should be valuable; similarly stimulation of surgeons for a better management of the diagnosis of strangulated femoral hernias and for systematically considering surgical repair of all femoral hernias whatever be the risk, should be beneficial. Lastly they underline that a prospective comparison between prosthetic and non prosthetic repairs of common femoral hernias could be organized easily because they are comparative lesions.