Hernia crurale

Definitions

  • a hernia crurale is a Hernie which is expressed anatomically in lower part of the Ligne of Malgaigne (or ligament of Poupart) or (ligament inguinal).
  • the line of Malgaigne is a ligament which connects the antéro-higher iliaque spine of the bone Iliaque of the basin, with the spine of the Pubis.

Clinical examination

  • Risk factors: An overweight, a chronic cough, a BPCO can cause the hernia crurale.
  • Inspection: A " is found; bosse" on the level of the fold inguinal.
  • Palpation: If the hernia is not strangled, it is mobilizable, flexible, impulsive with cough, nonpainful.
It is in inside of the sheath of the femoral artery. NB: Consult the chapter Hernie for more comprehension

Treatment

  • Reduction: At the time of the projection of a noncomplicated hernia, one practices a soft and continuous massage until reintroduction of the hernia in his place
  • Chirurgie: A hernia crurale, even noncomplicated, must make propose an surgical operation because this type of hernia frequently becomes complicated throttling and of intestinal Occlusion. The operation consists overall of a reinforcement of the abdominal wall on the level of the point of weakness, with the installation of a prosthesis.

Risks

  • After operation risks abscess, infection or hématome.
  • complications related on the anesthesia and the position lying prolonged.
These complications are rare and exceptional in the event of cold surgery.

See too

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