Ms. Zhao, 42 years old, with femoral hernia. Surgery and medication to relieve abdominal drop sensation.

(Disclaimer: This article is for scientific purposes only. To protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: Ms. Zhao was admitted to the hospital with symptoms such as lowering and pain in the abdomen. An abdominal CT was performed and a femoral hernia was diagnosed based on the symptoms and findings. After surgical treatment (laparoscopic row repair) and medication (injection of penicillin potassium) were given to the patient, the patient is now in good spirits. Femoral hernia occurs in women with pelvic floor muscle relaxation, and it is important to consult a doctor when symptoms are found to avoid delaying the disease, which can be reduced by doing pelvic floor muscle exercises. Basic information] Female, 42 years old [Type of disease] Femoral hernia [Hospital] The First Affiliated Hospital of Kunming Medical University [Date of consultation] July 2021 [Treatment plan] Surgery (laparoscopic repair) + medication (injectable penicillin potassium) [Treatment cycle] Surgery for 1 week, follow-up after 1 month [Results] Femoral hernia successfully repaired, abdominal distension and pain disappeared. Interview Ms. Zhao is 42 years old and has been feeling a significant drop in her stomach for the past 2 months, which is aggravated after squatting in the toilet and was originally painless, but has been feeling pain for the past 2 days. The patient was then made to lie on the examination bed for her examination, and a hemispherical mass with a firm texture was palpated at the fossa ovalis below the inguinal ligament. The patient was asked to tighten her stomach and apply downward pressure, and it was found that the hemispherical shape of the palpated mass increased in size with increasing abdominal pressure. After consideration, the patient underwent abdominal CT examination, which showed a left femoral hernia with fat strangulation, and was diagnosed as a femoral hernia. Second, the treatment process According to the patient’s current situation of hernia prolapse, it was recommended to repair the hernia through laparoscopic surgery, and the patient agreed. A series of relevant basic examinations were performed before surgery, and contraindications to surgery were excluded. Antibiotics such as injectable penicillin potassium were used to reduce the incidence of infection before surgery. During the surgery, the patient was directly accessed to the interior of the abdominal cavity through the hole by laparoscopy, and the inner ring was narrowed by the repair tool, and the abdominal wall defect was strengthened by mesh. Postoperatively, the patient’s general condition was good, and his mental state was normal, meanwhile, the postoperative period was continued with injection of penicillin potassium to prevent the occurrence of infection. 1 week later, the patient’s physical condition was examined, and there was no protruding mass, no wound infection or ulceration, no recurrence, and no abnormalities appeared. After surgery, the patient’s weak and defective abdominal wall tissues were repaired completely, and at the same time, the inner ring was narrowed to prevent recurrence. After 1 week of hospitalization, the protruding mass disappeared, the wound gradually recovered, there was no abnormal oozing of blood and fluid, and there was no infection, so the patient was discharged from the hospital. One month after discharge, the patient was re-examined, the symptoms of abdominal distension and pain disappeared, the wound was completely recovered, and there was no abnormality in the abdominal CT. The patient is now in good spirits, very satisfied with the treatment, and has resumed a normal standard of living. Precautions We are glad that the patient’s symptoms have been improved after treatment, but we still need to pay attention to some matters in daily life: 1. We need to monitor the condition, pay attention to whether the abdominal mass is protruding again, and whether the surgical wound is broken, infected, and seeping blood and fluid in an abnormal manner, and if we find it, we should respond to the doctor in time; 2. After the operation, the patient will first consume the porridge and water with no dregs of rice as a liquid food, and slowly return to normal diet after the intestinal function gradually recovers. After recovering, slowly resume normal diet. Secondly, patients should avoid spicy, stimulating, greasy food, eat more fruits and vegetables, eat more high-protein food, promote or wound recovery; 3, do not cough hard, when you can not help it can cover the abdomen, and to avoid constipation, urinary difficulties and so on; 4, postoperative patients need to avoid excessive exertion, reduce the amount of activity, do not lift heavy objects, do not lift heavy things, etc., to prevent the recurrence of hernia. Five, personal perception femoral hernia is abdominal viscera through the femoral ring, femoral tube to the oval fossa protrudes, is a kind of extra-abdominal hernia, prevalent in middle-aged women, the main manifestation of inguinal distension, pain, etc., often because of the high maternal age or pelvic floor muscle function is weak and other reasons to increase the incidence of the discovery of femoral hernia to intervene in a timely manner, otherwise it will induce a variety of undesirable complications such as peritonitis, intestinal obstruction, intestinal necrosis, etc., usually after the standardized treatment is generally a better prognosis. The prognosis is usually better after standardized treatment. As in the case of the patient in this article, after surgical laparoscopic repair, the patient has now returned to a normal standard of living, which is gratifying.