Makindo Medical Notes"One small step for man, one large step for Makindo" |
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⚠️ "Incarcerated" and "Strangulated" Inguinal Hernias are surgical emergencies.
Feature | Femoral Hernia | Inguinal Hernia |
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👥 Typical Patient | Older women (wider pelvis) | Young to middle-aged men |
📍 Location | Below inguinal ligament, lateral to pubic tubercle | Above inguinal ligament, medial or lateral to inferior epigastric vessels |
🧵 Neck of Hernia | Narrow → high risk of strangulation 🚨 | Wider → lower risk of strangulation |
🩺 Clinical Features | Small lump in groin, tender if incarcerated, often difficult to reduce | Groin lump enlarges on coughing/straining, often reducible |
🔎 Examination Clues | Swelling below & lateral to pubic tubercle | Swelling above & medial/lateral to pubic tubercle |
⚕️ Management | Urgent surgery due to strangulation risk | Elective repair unless obstructed/strangulated |
📉 Complications | Obstruction, strangulation, bowel necrosis | Less likely strangulation, but recurrence possible |