Surgery · Hernia (Inguinal, Femoral, Types, Repair)

A femoral hernia emerges through the femoral canal, medial to the femoral vein. The femoral canal is bounded laterally by the femoral vein, medially by the lacunar ligament (Gimbernat's ligament), anteriorly by the inguinal ligament, and posteriorly by which structure?

  • A Iliopectineal ligament
  • B Iliotibial band
  • C Fascia lata
  • D Pectineal ligament (Cooper's ligament)
Correct answer: D. Pectineal ligament (Cooper's ligament)

Explanation

The femoral canal is bounded: anteriorly by the inguinal ligament, posteriorly by the pectineal ligament (Cooper's ligament) and the superior pubic ramus, medially by the lacunar (Gimbernat's) ligament, and laterally by the femoral vein. Cooper's ligament is used in the McVay (Cooper's ligament) repair for femoral hernia. The lacunar ligament has a sharp medial edge that can constrict a strangulated femoral hernia.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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