This is an automatically translated article.
A femoral hernia is a bulge of bowel or fatty tissue that is pushed through a weak muscle in the thigh. It occurs near the thigh, usually the right side. A femoral hernia sometimes causes a swelling in the upper inner thigh or groin. These swellings can usually go away when you lie down.1. Signs and symptoms of femoral hernia
Some hernias are congenital, but it is only in adulthood that specific symptoms begin to appear.
1.1 Physical symptoms Bump in the thigh: This mass sometimes does not, usually appears when walking a lot, pain when stretching the leg. Sometimes, one leg is edematous in the afternoon. Discomfort in the groin, thighs is less noticeable. Physical symptoms are not clearly expressed, femoral hernia is strangulated or strangulated, so many patients come to the emergency room without knowing they have a hernia. Therefore, when seeing a female patient with a mechanical intestinal obstruction without an obvious cause, one must think that the cause may be a femoral hernia.
1.2 Physical symptoms Small bulge in the upper - inner corner of the triangle of Scarpa is characterized: Round or oval, not very large and located below the inguinal crease. Soft, painless. It is possible to reduce or remove the bulge, but not as easily as an inguinal hernia. Knock echo, hear the sound of the brain if the intestines go down. The pulse is captured: The inguinal artery is lateral to the bulge.
2. Causes of femoral hernia
There is no obvious cause for a femoral hernia. Possible causes of femoral hernia can be: Being overweight; cough a lot; constipation; exertion during bowel movements, childbirth, or heavy lifting.
Many people think that the abdominal wall muscles are weak due to pregnancy many times, on the other hand, when giving birth, the pelvis is slightly elastic, which are the two main factors that make the scales and ligaments of the Scarpa triangle's fundus weak and easy to leak. taste.
So femoral hernia is not a congenital disease, so it is very rare in children.
3. Who is at risk for femoral hernia?
Femoral hernia is very rare (about 6% of all hernias), common in women, especially women with multiple pregnancies, very rare in children.
Other factors increase the risk of femoral hernia, including:
Family history: The risk of femoral hernia increases if you have a close relative with the condition. Certain medical conditions: People with cystic fibrosis, a serious lung disease, are more likely to develop a femoral hernia. Chronic cough: Smoking, for example, can increase the risk of femoral hernia. Chronic constipation: Straining to have a bowel movement is a common cause of femoral hernia. Excess weight: Adds extra pressure on the patient's abdomen. Pregnancy: This can weaken both the abdominal muscles and increase intra-abdominal pressure. Premature birth. Certain occupations: There are certain jobs that require long periods of standing or manual labor that increase the risk of a femoral hernia.
4. Lifestyle habits that can help you limit the progression of a femoral hernia
Femoral hernia can be limited if you follow the following lifestyle habits:
Follow your doctor's instructions about taking pain relievers, working and living regimens after surgery. You can reduce your risk of a hernia by keeping your weight in moderation, eating a high-fiber diet, drinking enough water, and making sure it's safe to lift heavy objects. Regular check-ups to monitor health status. Vinmec Ha Long International General Hospital has successfully performed femoral hernia surgery for a 63-year-old patient. Before surgery, the patient is given nutrition to be in good condition ready for surgery. During the surgery, the doctors performed general anesthesia with regional anesthesia - an advanced analgesia method that not only relieves pain but also reduces cardiovascular and respiratory complications and restores early digestive function. After surgery, the doctor gives the patient an early meal, encourages gentle exercise and daily rehabilitation exercises.
Thanks to the attentive care of the doctors and the method of enhancing postoperative recovery after surgery at Vinmec Ha Long, the patient recovered quickly. Only 1 day after surgery, she was able to eat and exercise lightly, and was discharged after 5 days.
(ERAS) is an early recovery program after surgery being applied by many hospitals around the world, and has started to be applied in some hospitals in Vietnam. Patients will be applied comprehensive nutritional care methods to prepare well for surgery, restore function before and after surgery, choose the optimal surgical method and apply methods to reduce pain. advanced pain. Therefore, ERAS minimizes complications, helps patients recover quickly after surgery and discharge early.
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