If you feel hard lumps growing on the roots of your thighs, you must find a way to remove them. The most important thing at this time is to go to the hospital to find out the cause of the disease. Only in this way can you avoid the occurrence of complications to a certain extent, because this may be related to skin diseases, and it may also be caused by problems inside the body, so you must find a way to improve it. When the intestinal wall is incarcerated and the intestinal tube is compressed, the main symptom is abdominal pain, which can be easily misdiagnosed as organ diseases such as gastritis. When the entire intestine is incarcerated, it presents as intestinal obstruction. Once intestinal blood flow obstruction and intestinal necrosis are confirmed, the patient needs to undergo partial intestinal resection and intestinal anastomosis under general anesthesia. Other common misdiagnoses include: varicose nodular enlargement of the great saphenous vein; round ligament cyst of the uterus: a painless mass in the female groin area, which is round or oval, tough or cystic, and slightly movable. The mass increases when standing or increasing abdominal pressure, and decreases when lying flat. Physical examination shows only mild tenderness or no tenderness, and is cystic. High-frequency ultrasound can be used as the preferred examination method for inguinal lesions such as round ligament cysts of the uterus. Among patients with acute abdominal pain, those who seek medical treatment for acute incarceration of femoral hernia accompanied by intestinal obstruction are prone to missed diagnosis of femoral hernia. The reasons are usually that femoral hernia is more common in elderly women, who are unwilling to actively provide information about the lesions near the vulva when seeking medical treatment and are uncooperative during physical examinations, which can easily lead to missed diagnosis. There is usually no abnormal feeling. When the femoral hernia becomes acutely incarcerated, symptoms of acute intestinal obstruction such as abdominal pain and vomiting appear, which mask the local symptoms. When patients with a history of surgery develop intestinal obstruction, it is unilaterally considered to be postoperative adhesive intestinal obstruction. The physical examination is not detailed: femoral hernias are generally small, not easy to reduce, and there is no history of recurrent herniation. However, most doctors do not fully expose the patient's perineum during physical examination and are prone to missing the groin area. There is insufficient understanding of the clinical manifestations of femoral hernia. There are five surgical methods for the treatment of femoral hernia: Mcvey's hernia repair, mesh hernia repair, preperitoneal pubic foramen covering, upper inguinal ligament repair, and lower inguinal ligament repair. Once any femoral hernia is discovered, surgical treatment should be arranged as soon as possible, even if the patient has no discomfort. You must not take chances and ignore the existence of a groin tumor. Once an emergency hernia with incarcerated intestinal necrosis is sought, the lack of preoperative evaluation and hernia assessment often affects the judgment of the clinical emergency physician, creating unnecessary obstacles to diagnosis and treatment. |
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