Chan and Chan reviewed different approaches to repair of a femoral hernia. The authors are from Shouldice Hospital in Thornhill, Ontario, which is a referral hospital for abdominal wall hernias.
The first stage in all repairs was a complete inguinal dissection to examine the direct, indirect, interstitial and femoral spaces for hernias.
Clinical Situation
Recommendation
primary femoral hernia
complete groin repair only
recurrent femoral hernia
anterior sublay mesh
concurrent direct inguinal hernia
anterior sublay mesh
previous inguinal hernia repair that is intact
infrainguinal plug
need for concomitant bowel resection
complete groin repair only
perivascular hernia
anterior sublay mesh
excessive tension upon the suture repair suspected
anterior sublay mesh
where:
• An absolute contraindication to mesh repair was concurrent bowel resection.
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