Resumen

MORATO ARANCIBIA, Pablo A  y  SALAS CARVALLO, Sacha E. Hernia femoral complicada: Técnica de Nyhus para manejo quirúrgico de urgencia. Presentación de un caso clínico. REVISTA MEDICIS [online]. 2009, n.5, pp. 40-45. ISSN 1818-5223.

The hernias of the abdominal wall constitute one from the most frequent pathologies to which the general surgeon faces in his daily practice. The excellence of the treatment is nowadays the final objective and the approaches look for to respond to the what a one and the how of the repair. In this sense, in the history of the hernia it has been trafficked, in their repair, from the previous access until the later one, and more recently the access minimumly invasivo. Nevertheless be the previous access the classic way of repair, for some decades one has come using the road later preperitoneal and in the last years, the road laparoscópica In the search of the basicses of the repairs, the explanations you focalizan in the anatomical structures of the región inguinocrural, giving bilí of their complexity, particularly in the muscular layers and aponeurótica and in the fascia of the low part of the abdominal wall. Given the current controversy in the surgical treatment of this illness, we present the boarding perítoneal pre for the handiing of the femoral hernia, The surgical technique will be explained applied to a clinical case of intestinal high Obstructíon by femoral strangled Hernia. We will demónstrate the advantages of this boarding since not in surgery of Urgency alone it allows us to repair the femoral hernia, but also to be abte to consent to the abdominal cavity, to explore in their entirety the intestine in the face of the eventuality of requiring intestinal resection. All these advantages make of this very practical, useful technique and with surgical little invasión. The surgical time, aesthetic and functional result is good for the patients and like we will even do in the clinical case in patient with comorbilidades and operative significant risk.

Palabras llave : Femoral Hernia; Nythus tecnic; Urgency.