Skip to main content

Advertisement

SpringerLink
Log in

Femoral hernia: a review of 83 cases

  • Original Article
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

We evaluate the factors that affect morbidity and mortality in patients who underwent surgery due to femoral hernia. The medical records of 83 patients who underwent femoral hernia repair between January 1996 and June 2004 were retrospectively analyzed. The femoral hernias were repaired either with McVay or mesh plug hernioplasty. Sex, age, surgical repair technique, presence of incarceration/strangulation, incarcerated/strangulated organs, postoperative complications, duration of hospitalization, recurrence rate, and factors that affect mortality and morbidity were studied. There were 83 patients with femoral hernia in our study. Patients’ age ranged from 10 to 75 years (mean age was 46.84) with a predominance of female (71%). Thirty-six patients (40%) underwent emergency surgery with the diagnosis of strangulation or incarceration of femoral hernia. Seventeen patients had strangulation and underwent resection; eleven of these patients had omentum in the hernial sac, whereas six patients had intestines. Four of these patients underwent laparotomy. The remaining 19 patients had incarceration and underwent simple reduction of hernial sac content without resection. Forty-seven (60%) patients underwent elective surgery. McVay technique was used for 79 patients, while the other four patients were treated with mesh-plug. Twelve patients (15%) developed a variety of complications (nine patients (25%) in emergency, three patients (6%) in elective group). There was one mortality. Recurrences occurred in two patients. Femoral hernia is an important surgical pathology with high rates of incarceration/strangulation and intestinal resection. Emergency surgery can increase morbidity and mortality especially in the elderly. Early elective surgery may reduce complication.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Buchin P, Steinau G, Ophoff K et al (1999) Femoral hernia in childhood: evaluation of sonography as a diagnostic aid. Hernia 3:19–21

    Article  Google Scholar 

  2. Sandblom G, Haapaniemi S, Nilsson E (1999) Femoral hernias: a register analysis of 588 repairs. Hernia 3:131–134

    Article  Google Scholar 

  3. Ponka JL, Brush BE (1971) Problem of femoral hernia. Arch Surg 102:417–423

    PubMed  CAS  Google Scholar 

  4. Naude GP, Ocon S, Bongard F (1997) Femoral hernia: the dire consequences of a missed diagnosis. Am J Emerg Med 15:680–682

    Article  PubMed  CAS  Google Scholar 

  5. Rhind JR (1971) Lateral femoral hernia. J R Coll Surg Edinb 16:299–300

    PubMed  CAS  Google Scholar 

  6. Gallegos NC, Dawson J, Jarvis M et al (1991) Risk of strangulation in groin hernias. Br J Surg 78:1171–1173

    Article  PubMed  CAS  Google Scholar 

  7. Andrews NJ (1981) Presentation and outcome of strangulated external hernia in a district general hospital. Br J Surg 68:329–332

    Article  PubMed  CAS  Google Scholar 

  8. Hernandez-Richter T, Schardey HM, Rau HG et al (2000) The femoral hernia: an ideal approach for the transabdominal preperitoneal technique (TAPP). Surg Endosc 14:736–740

    Article  PubMed  CAS  Google Scholar 

  9. Zandi G, Vasquez G, Buonanno A et al (2003) PHS repair in femoral hernia surgery. Minerva Chir 58:797–799

    PubMed  CAS  Google Scholar 

  10. Swarnkar K, Hopper N, Nelson M et al (2003) Sutureless mesh-plug femoral hernioplasty. Am J Surg 186:201–202

    Article  PubMed  Google Scholar 

  11. Bekoe S (1973) Prospective analysis of the management of incarcerated and strangulated inguinal hernias. Am J Surg 126:665–668

    Article  PubMed  CAS  Google Scholar 

  12. Brasso K, Londal Nielsen K, Christiansen J (1989) Long-term results of surgery for incarcerated groin hernia. Acta Chir Scand 155:583–585

    PubMed  CAS  Google Scholar 

  13. Glassow F (1985) Femoral hernia Review of 2,105 repairs in a 17 year period. Am J Surg 150:353–356

    Article  PubMed  CAS  Google Scholar 

  14. Waddington RT (1971) Femoral hernia: a recent appraisal. Br J Surg 58:920–922

    Article  PubMed  CAS  Google Scholar 

  15. Maingot R (1968) The choice of operation for femoral hernia, with special reference to McVay’s technique. Br J Clin Pract 22:323–329

    PubMed  CAS  Google Scholar 

  16. De Caluwe D, Chertin B, Puri P (2003) Childhood femoral hernia: a commonly misdiagnosed condition. Pediatr Surg Int 19:608–609

    Article  PubMed  Google Scholar 

  17. Lee SL, DuBois JJ (2000) Laparoscopic diagnosis and repair of pediatric femoral hernia Initial experience of four cases. Surg Endosc 14:1110–1113

    Article  PubMed  CAS  Google Scholar 

  18. McEntee GP, O’Carroll A, Mooney B et al (1989) Timing of strangulation in adult hernias. Br J Surg 76:725–726

    Article  PubMed  CAS  Google Scholar 

  19. Kulah B, Kulacoglu IH, Oruc MT et al (2001) Presentation and outcome of incarcerated external hernias in adults. Am J Surg 181:101–104

    Article  PubMed  CAS  Google Scholar 

  20. Oishi SN, Page CP, Schwesinger WH (1991) Complicated presentations of groin hernias. Am J Surg 162:568–571

    Article  PubMed  CAS  Google Scholar 

  21. Hachisuka T (2003) Femoral hernia repair. Surg Clin North Am 83:1189–1205

    Article  PubMed  Google Scholar 

  22. Takuev KS, Abdulla-zade RA, Savenok AV et al (1983) Early and late results of treatment of patients with incarcerated inguinal hernia. Vestn Khir Im I I Grek 130:38–41

    PubMed  CAS  Google Scholar 

  23. Ashirov AA, Malevannyi AV (1986) Immediate results of treating strangulated hernias. Vestn Khir Im I I Grek 136:37–41

    PubMed  CAS  Google Scholar 

  24. Robbins AW, Rutkow IM (1998) Repair of femoral hernias with “plug” technique. Hernia 2:73–75

    Article  Google Scholar 

  25. Jones RA (1966) Femoral hernia following inguinal hernioplasty. Am Surg 32:725–732

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. First Department of Surgery, Vakif Gureba Training Hospital, Mevlana Mah. Hekim Suyu Cad., Dostluk Sitesi D 1 Blok D:13, 34080, Kucukkoy, Istanbul, Turkey

    O. Alimoglu, B. Kaya, I. Okan, F. Dasiran, G. Bas & M. Sahin

  2. Second Department of Surgery, Vakif Gureba Training Hospital, Istanbul, Turkey

    D. Guzey

Authors
  1. O. Alimoglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Kaya
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I. Okan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. F. Dasiran
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. D. Guzey
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. G. Bas
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. M. Sahin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to O. Alimoglu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Alimoglu, O., Kaya, B., Okan, I. et al. Femoral hernia: a review of 83 cases. Hernia 10, 70–73 (2006). https://doi.org/10.1007/s10029-005-0045-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-005-0045-3

Keywords

Search

Navigation