Comment diagnostiquer une hernie crurale ?

Le diagnostic se fait par examen physique et imageries comme l'échographie.

Quels tests sont utilisés pour confirmer une hernie crurale ?

L'échographie et l'IRM peuvent aider à visualiser la hernie et son contenu.

Quels signes cliniques indiquent une hernie crurale ?

Une bosse dans l'aine, douleur ou inconfort lors de l'effort physique.

La hernie crurale est-elle toujours visible ?

Non, certaines hernies peuvent être internes et non visibles à l'œil nu.

Quel médecin consulte-t-on pour une hernie crurale ?

Un chirurgien généraliste ou un spécialiste en chirurgie abdominale.

Quels sont les symptômes d'une hernie crurale ?

Douleur dans l'aine, une bosse visible, et parfois des nausées.

La douleur d'une hernie crurale est-elle constante ?

La douleur peut être intermittente, souvent aggravée par l'effort.

Peut-on avoir des symptômes sans hernie visible ?

Oui, des douleurs peuvent survenir sans bosse visible, surtout en cas de hernie interne.

Les symptômes d'une hernie crurale peuvent-ils s'aggraver ?

Oui, les symptômes peuvent s'aggraver avec le temps ou des efforts physiques.

Les nausées sont-elles un symptôme courant ?

Elles peuvent survenir si la hernie entraîne une obstruction intestinale.

Comment prévenir une hernie crurale ?

Maintenir un poids santé, éviter les efforts excessifs et renforcer les muscles abdominaux.

Le renforcement musculaire aide-t-il à prévenir les hernies ?

Oui, des muscles abdominaux forts peuvent réduire le risque de hernie.

Les femmes enceintes sont-elles à risque de hernie crurale ?

Oui, la pression abdominale accrue pendant la grossesse peut augmenter le risque.

Le tabagisme influence-t-il le risque de hernie ?

Oui, le tabagisme peut affaiblir les tissus et augmenter le risque de hernie.

Les activités sportives peuvent-elles causer des hernies ?

Certaines activités sportives, surtout celles avec des efforts intenses, peuvent augmenter le risque.

Quel est le traitement principal pour une hernie crurale ?

La chirurgie est le traitement principal pour réparer la hernie crurale.

Y a-t-il des traitements non chirurgicaux ?

Des mesures comme le port de ceintures abdominales peuvent soulager temporairement.

Quelles sont les options chirurgicales disponibles ?

La réparation ouverte ou laparoscopique sont les deux principales techniques chirurgicales.

Quels sont les risques de la chirurgie pour hernie crurale ?

Les risques incluent infection, saignement et récidive de la hernie.

Combien de temps dure la récupération après une chirurgie ?

La récupération peut prendre de quelques semaines à plusieurs mois selon la technique.

Quelles complications peuvent survenir avec une hernie crurale ?

Les complications incluent l'incarcération et l'étranglement de l'intestin.

Qu'est-ce qu'une hernie étranglée ?

C'est une hernie où le sang ne circule plus vers l'organe, nécessitant une intervention urgente.

Comment reconnaître une hernie incarcérée ?

Une bosse douloureuse qui ne peut pas être repoussée et des symptômes d'obstruction.

Les complications sont-elles fréquentes ?

Elles sont rares mais peuvent survenir, surtout si la hernie n'est pas traitée.

Que faire en cas de douleur intense liée à une hernie ?

Consulter immédiatement un médecin pour évaluer le risque de complications.

Quels sont les principaux facteurs de risque d'une hernie crurale ?

L'obésité, le vieillissement, les antécédents familiaux et les efforts physiques intenses.

Les antécédents de chirurgie abdominale augmentent-ils le risque ?

Oui, les cicatrices peuvent affaiblir la paroi abdominale et favoriser les hernies.

Les personnes âgées sont-elles plus à risque ?

Oui, le vieillissement affaiblit les muscles et augmente le risque de hernie.

Le sexe influence-t-il le risque de hernie crurale ?

Oui, les hommes sont généralement plus à risque que les femmes pour les hernies crurales.

Les efforts physiques réguliers sont-ils un facteur de risque ?

Des efforts excessifs sans préparation peuvent augmenter le risque de hernie.

Hernie crurale - Informations médicales vérifiées

The Use of CECT in the Diagnosis of Intestinal Obstruction: A Case of Difficult Diagnosis in a Strangulated Left Femoral Hernia.

01 Apr 2024

DOI: 10.4103/njcp.njcp_590_23 PMID: 38679778

A femoral hernia is an uncommon and acquired hernia in the groin. Its incidence in adults is 2%-8% of all abdominal wall hernias, and it has a female-to-male ratio of 1.8:1. It is usually found in eld...

Humans Hernia, Femoral Male Intestinal Obstruction Aged +4 autres

Comparison of patient characteristics and treatment approaches for femoral and inguinal hernias utilizing dynamic ultrasound at a single institution.

10 2023

DOI: 10.1007/s10029-023-02810-2 PMID: 37253821

To assess the differences in management approach to femoral versus inguinal hernias and to identify patient characteristics associated with each hernia type.... Imaging studies for patients who had undergone dynamic ultrasound evaluation for the symptom of groin pain between January 1, 2010, and March 31, 2019, at a single institution Musculoskeletal Departme... A total of 1319 patients presented with groin pain and were assessed with dynamic ultrasound (534 female; 785 male; mean [± SD] age 48.2 ± 16.5). While 409 (31.0%) patients had a femoral hernia detect... Femoral hernias were managed more conservatively than inguinal hernias at our institution....

Humans Male Female Adult Middle Aged +6 autres

Laparoscopic Removal of an Infected Mesh Following TEP Procedure for Femoral Hernia with Omental Patch Closure of a Peritoneal Defect.

17 Aug 2023

DOI: 10.12659/AJCR.940618 PMID: 37587662

BACKGROUND Mesh infection following inguinal hernia repair is rare, and mesh removal is mandatory. However, the laparoscopic approach is challenging to perform. Here, we present a case of laparoscopic...

Female Humans Aged Omentum Hernia, Femoral +3 autres

A qualitative study of groin hernia management in adolescents.

06 Sep 2023

PMID: 37897389

Groin hernias in adolescents are rare and their management is associated with challenges for surgeons as some adolescents are fully grown, whereas others are not. Current groin hernia guidelines only ... We conducted a qualitative study using pilot-tested individual semi-structured interviews. The participants were surgical specialists with experience in groin hernia repair in adolescents aged 10-17 y... Sixteen surgeons were included. Their considerations were reflected in four themes: 1) mesh-related concerns, 2) watchful waiting, 3) growth and 4) lack of evidence and guidelines. Surgeons performed ... This study found a lack of consensus and uniformity on the management of groin hernias in adolescents. Increased research efforts producing clinical guidelines are needed.... This study was funded by the Michaelsen Foundation, the Aage and Johanne Louis-Hansens Foundation, Direktør Emil C. Hertz and Hustru Inger Hertz' Foundation, and the Torben and Alice Frimodts Foundati... not relevant....

Adult Child Humans Adolescent Child, Preschool +7 autres

Sex-based differences in inguinal hernia factors.

Nov 2023

DOI: 10.1007/s00464-023-10367-5 PMID: 37626235

Much of our knowledge about inguinal hernias is based on males. Meanwhile, it is established that women have worse outcomes after inguinal hernia repair, with more chronic pain and higher recurrences.... An institutional database of patients undergoing repair of primary inguinal hernias was queried with focus on preoperative risk factors and operative characteristics. Multivariate analysis was perform... Among 494 patients, 202 (40.9%) were female. Number of risk factors among females was significantly higher than males (1.53 vs 1.2, p = 0.003). Females had significantly more constipation, GERD, and a... Females undergoing primary inguinal hernia repair had more preoperative risk factors for inguinal hernia than males. In our population, there was no higher incidence of bilaterality or significant gen...

Adult Male Humans Female Child +6 autres

Mesh versus non-mesh for emergency groin hernia repair.

27 11 2023

DOI: 10.1002/14651858.CD015160.pub2 PMID: 38009575

A groin hernia is a collective name for inguinal and femoral hernias, which can present acutely with incarceration or strangulation of the hernia sac content, requiring emergency treatment. Timely rep... To assess the benefits and harms of mesh compared with non-mesh in emergency groin hernia repair in adult patients with an inguinal or femoral hernia.... On 5 August 2022, we searched the following databases: CENTRAL, MEDLINE Ovid, and Embase Ovid, as well as two trial registers for ongoing and completed trials. Additionally, we performed forward and b... We included randomised controlled trials (RCTs) comparing mesh with non-mesh repair in emergency groin hernia surgery in adults. We included any mesh and any non-mesh repairs. All studies fulfilling t... We used standard Cochrane methodology. We presented dichotomous data as risk ratios (RR) with 95% confidence intervals (CI). We based missing data analysis on best- and worst-case scenarios. For outco... We included 15 trials randomising 1241 participants undergoing emergency groin hernia surgery with either mesh (626 participants) or non-mesh hernia repair (615 participants). The studies were conduct... Our results show that in terms of 30-day surgical site infections, 30-day mortality, and hernia recurrence within one year, the evidence for the use of mesh hernia repair compared with non-mesh hernia...

Male Adult Humans Middle Aged Aged +7 autres

Laparoscopic Inguinal Hernia Repair for Female Patients: Experience from a High-volume Center in 20 years.

01 Dec 2023

DOI: 10.1097/SLE.0000000000001221 PMID: 37852236

Although laparoscopic inguinal hernia repair (LIHR) is widely performed worldwide, few studies have focused on the procedure in female patients. This study investigated the characteristics and outcome... This study retrospectively analyzed the data of 7380 patients with inguinal hernia admitted to the General Surgery Department of Ruijin Hospital and underwent LIHR from January 2001 to December 2020. ... In total, 572 female patients were enrolled in this study. The proportion of femoral hernias in female patients was higher in women than in male patients (17.4% vs. 0.3%, respectively). Mesothelial cy... LIHR is safe and feasible in female patients. Treatment of femoral hernia, MCURL, and the round ligament of the uterus should be carefully considered during LIHR in female patients....

Humans Male Female Laparoscopy Hernia, Inguinal +5 autres

Epidemiology and surgical management of 184 obturator hernias: a nationwide registry-based cohort study.

Dec 2023

DOI: 10.1007/s10029-023-02891-z PMID: 37747656

We aimed describe the patient characteristics, surgical details, postoperative outcomes, and prevalence and incidence of obturator hernias. Obturator hernias are rare with high mortality and no consen... The study was based on data from the nationwide Danish Hernia Database. All adults who underwent obturator hernia surgery in Denmark during 1998-2023 were included. The primary outcomes were demograph... We included 184 obturator hernias in 167 patients (88% females) with a median age of 77 years. Emergency surgeries constituted 42% of repairs, and 72% were laparoscopic. Mesh was used in 77% of the re... This was the largest cohort study to date on obturator hernias. They were rare, affected primarily elderly women. The method of repair depends on whether the presentation is acute, and emergency repai...

Adult Humans Female Aged Male +7 autres

De Garengeot hernia: A unique presentation of femoral hernia with perforated appendicitis.

14 Aug 2024

DOI: 10.1016/j.ijscr.2024.110173 PMID: 39146666

De Garengeot hernia is a rare subset of femoral hernias containing the vermiform appendix. It is more common in females. The presenting symptoms are non-specific hence diagnosis is challenging and the... An 85-year-old male patient who had previously undergone herniorrhaphy presented with a four-day history of pain and swelling in the right groin region. On a contrast-enhanced computed tomography scan... Diagnosis of De Garengeot hernias remains challenging due to their non-specific presentation and attenuated clinical symptoms, often leading to intraoperative identification. It is crucial for physici... De Garengeot hernia remains an uncommon and challenging presentation of femoral hernia, particularly when complicated by appendiceal incarceration leading to acute appendicitis. Surgical management sh...

Revisiting femoral hernia diagnosis rates by patient sex in inguinal hernia repairs.

Apr 2024

DOI: 10.1016/j.amjsurg.2023.10.048 PMID: 37914661

Guidelines recommend MIS repairs for females with inguinal hernias, despite limited evidence. We investigated rates of femoral hernias intraoperatively noted during MIS and Lichtenstein repairs in fem... ACHQC was queried for adult females undergoing inguinal hernia repair between January 2014-November 2022. Outcomes included identified femoral hernia and size, hernia recurrence, quality of life, and ... 1357 and 316 females underwent MIS and Lichtenstein inguinal repair respectively. Femoral hernias were identified more frequently in MIS than open repairs (27%vs12%; (p < 0.001). Most femoral hernia... Most incidental femoral hernias are small and both repair approaches demonstrated similar outcomes. The recommendation for MIS inguinal hernia repairs in females is potentially overstated....

Hernie crurale : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Auteurs principaux

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