Richter's hernia is common at which site:
a. The Richter hernia occurs when only the antimesenteric border of the bowel herniates through the fascial defect.
b. The Richter hernia involves only a portion of the circumference of the bowel. As such, the bowel may not be obstructed, even if the hernia is incarcerated or strangulated, and the patient may not present with vomiting.
c. The Richter hernia can occur with any of the various abdominal hernias and is particularly dangerous, as a portion of strangulated bowel may be reduced unknowingly into the abdominal cavity, leading to perforation and peritonitis
d. Patients with this type of hernia are usually females in the age group of 60-70 years.
e. It occurs thrugh any hernia site, however femoral ring is affected most commonly in 70% of the cases , next being inguinal 20% and incisional in 10%.
f. Most of the richters hernia are strangulated at presentation with signs of intestinal obstruction.
g. The treatment is always surgical with high chance of a resection and anastomosis of the involved segment of the bowel.