DOI: https://dx.doi.org/10.18203/2349-2902.isj20222239
Published: 2022-08-26

Laparoscopic femoral hernia repair: our experience - a case series with review of literature

Chintan M. Sangoi, Abhijit Joshi

Abstract


Femoral hernia is one of the rare types of groin hernia. Though classical clinical examination findings for its accurate diagnosis are well documented, it very often gets mistaken for the much commoner inguinal hernia. Traditionally, it has been surgically repaired by open approach. However, the advent of laparoscopy has brought femoral hernia repair under its purview. The purpose of this study is to evaluate the incidence of femoral hernia in our series and outcomes of its laparoscopic repair. We retrospectively evaluated the prospectively collected data of all the 796 patients who had undergone laparoscopic repair for groin hernias, performed by a single surgeon at our institution, over 15 years (from 2007 to 2022). There were 7 patients of femoral hernia in our series. All were diagnosed ‘on table’, while operating purportedly for inguinal hernia. Three out of these seven patients had occult femoral hernia. Femoral hernia is a rare entity and is often not accurately diagnosed pre-operatively. Its laparoscopic management is feasible, effective, and safe.


Keywords


Femoral hernia, Inguinal hernia, Laparoscopic management

Full Text:

PDF

References


Hernia Surge Group. International guidelines for groin hernia management. Hernia. 2018;22(1):1-16.

Goethals A, Azmat CE, Adams CT. Femoral Hernia. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2022.

Halgas B, Viera J, Dilday J, Bader J, Holt D. Femoral Hernias: Analysis of Preoperative Risk Factors and 30-Day Outcomes of Initial Groin Hernias Using ACS-NSQIP. Am Surg. 2018;84(9):1455-61.

Gonzalez-Urquijo M, Tellez-Giron VC, Martinez-Ledesma E, Rodarte-Shade M, Estrada-Cortinas OJ, Gil-Galindo G. Bowel ostruction as a serious complication of patients with femoral hernia. Surg Today. 2021;51(5):738-44.

Alkashty M, Dickinson B, Tebala GD. Coloproctology De Garengeot’ s Hernia Treated With a Hybrid Approach: A Case Report. Ann Coloproctol. 2021;37(1):21-3.

Niebuhr H, König A, Pawlak M, Sailer M, Köckerling F, Reinpold W. Groin hernia diagnostics: dynamic inguinal ultrasound (DIUS). Langenbecks Arch Surg. 2017;402(7):1039-45.

Kulah B, Duzgun AP, Moran M, Kulacoglu IH, Ozmen MM, Coskun F: Emergency Hernia Repairs in Elderly Patients. Am J Surg. 2001;182(5):455-9.

Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional hernias. Lancet. 2003;362:1561-71.

Waddington RT. Femoral hernia, a recent appraisal. Br J Surg. 1971;58:920-2.

Humes DJ, Radcliffe RS, Camm C, West J. Population-based study of presentation and adverse outcomes after femoral hernia surgery. Br J Surg. 2013;100(13):1827-32.

Derici H, Unalp HR, Bozdag AD, Nazli O, Tansug T, Kamer E. Factors affecting morbidity and mortality in incarcerated abdominal wall hernias. Hernia. 2007;11(4):341-6.

Sorelli PG, El-Masry NS, Garrett WV. Open femoral hernia repair: One skin incision for all. World J Emerg Surg. 2009;4(1):3-5.

Lockhart K, Dunn D, Teo S, Ng JY, Dhillon M, Teo E, et al. Mesh versus non-mesh for inguinal and femoral hernia repair. Cochrane Database Syst Rev. 2018;2018(9).

Karatepe O, Acet E, Altiok M, Adas G, Cakir A, Karahan S. Preperitoneal repair (open posterior approach) for recurrent inguinal hernias previously treated with Lichtenstein tension-free hernioplasty. Hippokratia. 2010;14:119-21.