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.

Femoral ring ---> Femoral canal ---> Saphenous opening ---> Inguinal ligament

Course of a Femoral Hernia:-

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

Dragging type of pain Swelling General symptoms abdominal colic, vomiting, abdominal distension, constipation

Symptoms :-

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

Local Examinations :-

Treatment:-

No conservative treatment Surgeries :- These are Herniorrhaphy with different approaches : 1}High operation of McEvedys operation. 2}Lotheissens operation. 3}Lockwood operation.