Femoral hernia medical therapy

Revision as of 18:08, 6 February 2018 by Akshun Kalia (talk | contribs)
Jump to navigation Jump to search

Femoral hernia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Femoral hernia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Femoral hernia medical therapy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Femoral hernia medical therapy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Femoral hernia medical therapy

CDC on Femoral hernia medical therapy

Femoral hernia medical therapy in the news

Blogs on Femoral hernia medical therapy

Directions to Hospitals Treating Femoral hernia

Risk calculators and risk factors for Femoral hernia medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief:

Overview

Medical Therapy

The definite therapy for femoral hernia is surgery. Medical therapy is given to patients in preparation for surgery and postoperatively to prevent complications.

  • Medical therapy is given as supportive care and treatment is primarily aimed at ameliorating the most common postoperative complications such as pain, fever, nausea and vomiting, and in a few cases ileus. Patients with pre and post operative pain should be treated with NSAID as a baseline analgesia. Use of opiates such as morphine should be avoided as it can predispose to development of postoperative ileus. Patients with strangulated femoral hernia should be given broad spectrum antibiotics that cover both aerobic and non aerobic gram negative organisms.
  • Pharmacologic medical therapies for patients with post-operative repair of femoral hernia include:
    • 2. Antibiotics
      • Preferred regimen (1): Cefazolin 2 g IV for 7 days
      • Alternative regimen (1): Clindamycin 900 mg q 8h for 7 days
      • Alternative regimen (2): Vancomycin 15 mg/kg IV for 7-10 days
      • Alternative regimen (3): Ciprofloxacin 400 mg IV for 10 days
      • Alternative regimen (4): levofloxacin 500 mg IV for 5 days
      • Alternative regimen (5): Aztreonam 2 g IV q 6-8h (not to exceed 8g/day)
    • 3. Topical medications

References

Template:WS Template:WH