Inguinal and Femoral Hernias

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“Donnez un cheval à celui qui dit la vérité, il en aura besoin pour s’enfuir.”

Proverbe Persan.

Those are protrusions of intra-abdominal contents, usually intestine, through normally existing foramina.

In men the inguinal canal contains the spermatic cord, and this gives space for sliding of contents.

In women there is only the round ligament in this foramen, so that main opportunity for outward sliding is through the femoral foramen.

Both kind of hernias appear with insufficient connective tissue on those spots.

Improving maintenance of fats with unsaturated ones improves the odds.

Familial predisposition is a determining factor.

Supplying pregnant women with enough unsaturated fats during pregnancy prevents the disorder in the newborn.

Surgery tightens with fascial linings of those foramina.

In Antiquity this possibility was not available, and surgeons would attempt reducing hernias manually.

Once entrapped, if intestine remains longer in inappropriate position it can lose its vascular supply and undergo infarction. (Incarcerated hernia, occurence of which can be fatal!)