Femoral hernia surgery: Difference between revisions
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*Surgery should not be delayed because of the high incidence of strangulation or incarceration.<ref name="pmid1958976">{{cite journal |vauthors=Gallegos NC, Dawson J, Jarvis M, Hobsley M |title=Risk of strangulation in groin hernias |journal=Br J Surg |volume=78 |issue=10 |pages=1171–3 |year=1991 |pmid=1958976 |doi= |url=}}</ref> | *Surgery should not be delayed because of the high incidence of strangulation or incarceration.<ref name="pmid1958976">{{cite journal |vauthors=Gallegos NC, Dawson J, Jarvis M, Hobsley M |title=Risk of strangulation in groin hernias |journal=Br J Surg |volume=78 |issue=10 |pages=1171–3 |year=1991 |pmid=1958976 |doi= |url=}}</ref> | ||
*In case of incarceration or strangulation immediate surgical intervention is required regardless of age of the patient.<ref name="pmid7225757">{{cite journal |vauthors=Andrews NJ |title=Presentation and outcome of strangulated external hernia in a district general hospital |journal=Br J Surg |volume=68 |issue=5 |pages=329–32 |year=1981 |pmid=7225757 |doi= |url=}}</ref> | *In case of incarceration or strangulation immediate surgical intervention is required regardless of age of the patient.<ref name="pmid7225757">{{cite journal |vauthors=Andrews NJ |title=Presentation and outcome of strangulated external hernia in a district general hospital |journal=Br J Surg |volume=68 |issue=5 |pages=329–32 |year=1981 |pmid=7225757 |doi= |url=}}</ref> | ||
*Objectives of hernia surgery are:<ref name="pmid10954820">{{cite journal |vauthors=Hernandez-Richter T, Schardey HM, Rau HG, Schildberg FW, Meyer G |title=The femoral hernia: an ideal approach for the transabdominal preperitoneal technique (TAPP) |journal=Surg Endosc |volume=14 |issue=8 |pages=736–40 |year=2000 |pmid=10954820 |doi= |url=}}</ref><ref name="pmid12885618">{{cite journal |vauthors=Swarnkar K, Hopper N, Nelson M, Feroz A, Stephenson BM |title=Sutureless mesh-plug femoral hernioplasty |journal=Am. J. Surg. |volume=186 |issue=2 |pages=201–2 |year=2003 |pmid=12885618 |doi= |url=}}</ref><ref name="pmid14663407">{{cite journal |vauthors=Zandi G, Vasquez G, Buonanno A, Mazza P |title=[PHS Repair in femoral hernia surgery] |language=Italian |journal=Minerva Chir |volume=58 |issue=6 |pages=797–9 |year=2003 |pmid=14663407 |doi= |url=}}</ref> | |||
**Reduction of the hernia | |||
**Excision of the sac | |||
**Closure of the femoral ring to prevent recurrence | |||
*Surgical techniques used are either femoral or inguinal based approaches, used individually or in combination:<ref name="pmid10954820">{{cite journal |vauthors=Hernandez-Richter T, Schardey HM, Rau HG, Schildberg FW, Meyer G |title=The femoral hernia: an ideal approach for the transabdominal preperitoneal technique (TAPP) |journal=Surg Endosc |volume=14 |issue=8 |pages=736–40 |year=2000 |pmid=10954820 |doi= |url=}}</ref><ref name="pmid12885618">{{cite journal |vauthors=Swarnkar K, Hopper N, Nelson M, Feroz A, Stephenson BM |title=Sutureless mesh-plug femoral hernioplasty |journal=Am. J. Surg. |volume=186 |issue=2 |pages=201–2 |year=2003 |pmid=12885618 |doi= |url=}}</ref><ref name="pmid14663407">{{cite journal |vauthors=Zandi G, Vasquez G, Buonanno A, Mazza P |title=[PHS Repair in femoral hernia surgery] |language=Italian |journal=Minerva Chir |volume=58 |issue=6 |pages=797–9 |year=2003 |pmid=14663407 |doi= |url=}}</ref> | |||
**Basic hernioplasty operation | |||
**Hernioplasties with prosthetic materials (polypropylene mesh, sutureless mesh-plug repair) | |||
**Laparoscopic approach | |||
==Contraindications== | ==Contraindications== | ||
Revision as of 20:14, 6 February 2018
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Femoral hernia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Femoral hernia surgery On the Web |
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American Roentgen Ray Society Images of Femoral hernia surgery |
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Risk calculators and risk factors for Femoral hernia surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
Surgery is the mainstay of treatment for femoral hernia.
Indications
- The mainstay of treatment for femoral hernia is surgery. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
Surgery
- Surgery is the mainstay of treatment for femoral hernia.[1]
- Surgery should not be delayed because of the high incidence of strangulation or incarceration.[1]
- In case of incarceration or strangulation immediate surgical intervention is required regardless of age of the patient.[2]
- Objectives of hernia surgery are:[3][4][5]
- Reduction of the hernia
- Excision of the sac
- Closure of the femoral ring to prevent recurrence
- Surgical techniques used are either femoral or inguinal based approaches, used individually or in combination:[3][4][5]
- Basic hernioplasty operation
- Hernioplasties with prosthetic materials (polypropylene mesh, sutureless mesh-plug repair)
- Laparoscopic approach
Contraindications
- When incarceration or strangulation is present surgical intervention does increase morbidity and mortality, but it still needs to be performed.[2]
References
- ↑ 1.0 1.1 Gallegos NC, Dawson J, Jarvis M, Hobsley M (1991). "Risk of strangulation in groin hernias". Br J Surg. 78 (10): 1171–3. PMID 1958976.
- ↑ 2.0 2.1 Andrews NJ (1981). "Presentation and outcome of strangulated external hernia in a district general hospital". Br J Surg. 68 (5): 329–32. PMID 7225757.
- ↑ 3.0 3.1 Hernandez-Richter T, Schardey HM, Rau HG, Schildberg FW, Meyer G (2000). "The femoral hernia: an ideal approach for the transabdominal preperitoneal technique (TAPP)". Surg Endosc. 14 (8): 736–40. PMID 10954820.
- ↑ 4.0 4.1 Swarnkar K, Hopper N, Nelson M, Feroz A, Stephenson BM (2003). "Sutureless mesh-plug femoral hernioplasty". Am. J. Surg. 186 (2): 201–2. PMID 12885618.
- ↑ 5.0 5.1 Zandi G, Vasquez G, Buonanno A, Mazza P (2003). "[PHS Repair in femoral hernia surgery]". Minerva Chir (in Italian). 58 (6): 797–9. PMID 14663407.