c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Strangulated Femoral Hernia: 7

A D V E R T I S E M E N T

   
 

On opening, the sac contained black, watery fluid signifying dead bowel.       

Notes:

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Strangulated Femoral Hernia: 8

A D V E R T I S E M E N T

   
 

The knuckle of dead bowel was visualized and care was taken to ensure it did not slip back into the peritoneal cavity.       

Notes:

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Strangulated Femoral Hernia: 9

A D V E R T I S E M E N T

   
 

Because of the tight neck, additional bowel could not be delivered into the hernia defect. A right angle clamp was carefully inserted through the neck of the sac over the lacunar ligament (within the sheath of transversalis fascia). The lacunar ligament was carefully opened medially. Additional space was obtained by partially opening the inguinal ligament anteriorly.      

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This page was last modified on 12/9/1999.