This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Strangulation found during repair

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Ideally, during the initial assessment of a patient with a femoral hernia, strangulation will be suspected from the history and examination. If this is the case, either of two approaches may be taken to provide adequate access to the sac:

  • extra-peritoneal approach
  • transperitoneal approach

However, strangulation is sometimes found only during low or high approaches, in the absence of convincing clinical features. Evidence for strangulation includes sero-sanguinous fluid within the sac and black bowel seen through the peritoneum.

There are three management possibilities:

  • extraperitoneal approach
  • transperitoneal approach
  • continue with high or low approach

One salient rule is that no non-viable viscus should be returned to the abdominal cavity.


Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.