Velpeau hernia

Velpeau Hernia is a rare type of abdominal hernia that occurs in the groin area. Named after the French surgeon Alfred Velpeau, who first described it in the 19th century, this hernia is characterized by the protrusion of abdominal contents through the femoral ring into the medial thigh.

Anatomy

The femoral canal, where the Velpeau hernia occurs, is a small space located in the front of the hip joint. It is bordered by the inguinal ligament above, the pectineal ligament behind, and the lacunar ligament on the side. The femoral canal contains lymphatic vessels and a small amount of fatty tissue, but can also become a site for herniation.

Clinical Presentation

Patients with a Velpeau hernia typically present with a painful lump in the groin or thigh area. The pain may be exacerbated by physical activities such as lifting heavy objects or straining. In some cases, the hernia may be reducible, meaning that the protruding tissue can be pushed back into the abdominal cavity. However, if the hernia becomes incarcerated or strangulated, it can lead to serious complications such as bowel obstruction or gangrene.

Diagnosis

The diagnosis of a Velpeau hernia is often challenging due to its rarity and the lack of specific symptoms. Physical examination and patient history are crucial, but imaging studies such as ultrasound or computed tomography (CT) scan may also be necessary to confirm the diagnosis.

Treatment

The treatment for a Velpeau hernia is surgical repair. This can be done through an open approach or using minimally invasive techniques such as laparoscopic surgery. The goal of the surgery is to return the herniated tissue back to the abdominal cavity and to strengthen the femoral canal to prevent recurrence.

See Also

• Femoral hernia
• Inguinal hernia
• Hernia repair