[indian]

One of the UW question is talking about a saphenous opening for the femoral hernia, did not find that in FA or Kaplan?

What is it

Can anybody help please

Thanks

 

[indian]

So still nobody answered this after two months!

 

[rasheed]

The saphenous opening is a small defect in the fascia lata that covers the anterolateral surface of the thigh.
It's the opening through which the content of the femoral hernia escapes superficially. The saphenous vein also goes through it as it leaves the superficial fascia.
Have a look at this Gray's Anatomy image:


Image is in public domain in USA

Surgeons are well aware of the anatomical landmark of the Saphenous opening when they look for small femoral hernia. It's located 1.5 inferolateral to the pubic tubercle.

 

[Bella]

So still nobody answered this after two months!

the course of the femoral hernia is ,the peritoneal content goes down through the femoral canal,out of the femoral sheath,out through the saphenous opening n then turns upwards towards the abdomen.

 

[indian]

the course of the femoral hernia is ,the peritoneal content goes down through the femoral canal,out of the femoral sheath,out through the saphenous opening n then turns upwards towards the abdomen.

Woow, why does it turn upward to the abdomen

 

[Bella]

Woow, why does it turn upward to the abdomen

probably because the loose adipose tissue will allow it to go upwards...there s no place downwards .... clinically we ve seen a lot of cases like this,....so its difficult to reduce it cause it becomes a full u turn....