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Mini-mesh repair for femoral hernia

INTRODUCTION: Femoral hernia consists only 4% of all primary groin hernias. It is described as “the Bête Noire of Hernias” because of its nature and anatomy which is difficult to understand for the surgeons and tendency to recurrence. Although there is some large series of femoral hernia in the lite...

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Autor principal: Kulacoglu, Hakan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4201027/
https://www.ncbi.nlm.nih.gov/pubmed/25105770
http://dx.doi.org/10.1016/j.ijscr.2014.07.004
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author Kulacoglu, Hakan
author_facet Kulacoglu, Hakan
author_sort Kulacoglu, Hakan
collection PubMed
description INTRODUCTION: Femoral hernia consists only 4% of all primary groin hernias. It is described as “the Bête Noire of Hernias” because of its nature and anatomy which is difficult to understand for the surgeons and tendency to recurrence. Although there is some large series of femoral hernia in the literature, few studies prospectively comparing repair techniques especially for this type of hernia has been published. A new technique named mini-mesh repair is described here. PRESENTATION OF CASE: After hernia sac is dissected completely and sent back into the preperitoneal space, femoral canal is exposed. A round or oval shaped patch is prepared in 1.5–2.5 cm in diameter according to the size of the femoral canal. Mesh is secured to the Cooper's ligament with 2/0 polypropylene suture. Eight femoral hernias in 8 patients were repaired with this new technique. Patient satisfaction is very good. One seroma and one limited ecchymosis were recorded. No recurrence was observed in a mean follow-up of 22.4 months. No chronic pain was recorded. DISCUSSION: Many techniques for femoral hernia repair have been described to date with a variety of clinical outcomes. Each technique has its own advantages and disadvantages. Mesh repairs without tension seems to be better choices. When the transversalis fascia is healthy and strong in a patient with femoral hernia a large piece of mesh may be unnecessary. The simple technique described in this paper can be a good alternative. It is totally problem-oriented, and the burden of prosthetic material is very limited. CONCLUSION: Mini mesh repair may be a good solution for selected patients with femoral hernia.
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spelling pubmed-42010272014-10-21 Mini-mesh repair for femoral hernia Kulacoglu, Hakan Int J Surg Case Rep Article INTRODUCTION: Femoral hernia consists only 4% of all primary groin hernias. It is described as “the Bête Noire of Hernias” because of its nature and anatomy which is difficult to understand for the surgeons and tendency to recurrence. Although there is some large series of femoral hernia in the literature, few studies prospectively comparing repair techniques especially for this type of hernia has been published. A new technique named mini-mesh repair is described here. PRESENTATION OF CASE: After hernia sac is dissected completely and sent back into the preperitoneal space, femoral canal is exposed. A round or oval shaped patch is prepared in 1.5–2.5 cm in diameter according to the size of the femoral canal. Mesh is secured to the Cooper's ligament with 2/0 polypropylene suture. Eight femoral hernias in 8 patients were repaired with this new technique. Patient satisfaction is very good. One seroma and one limited ecchymosis were recorded. No recurrence was observed in a mean follow-up of 22.4 months. No chronic pain was recorded. DISCUSSION: Many techniques for femoral hernia repair have been described to date with a variety of clinical outcomes. Each technique has its own advantages and disadvantages. Mesh repairs without tension seems to be better choices. When the transversalis fascia is healthy and strong in a patient with femoral hernia a large piece of mesh may be unnecessary. The simple technique described in this paper can be a good alternative. It is totally problem-oriented, and the burden of prosthetic material is very limited. CONCLUSION: Mini mesh repair may be a good solution for selected patients with femoral hernia. Elsevier 2014-07-12 /pmc/articles/PMC4201027/ /pubmed/25105770 http://dx.doi.org/10.1016/j.ijscr.2014.07.004 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/licenses/by-nc-sa/3.0/).
spellingShingle Article
Kulacoglu, Hakan
Mini-mesh repair for femoral hernia
title Mini-mesh repair for femoral hernia
title_full Mini-mesh repair for femoral hernia
title_fullStr Mini-mesh repair for femoral hernia
title_full_unstemmed Mini-mesh repair for femoral hernia
title_short Mini-mesh repair for femoral hernia
title_sort mini-mesh repair for femoral hernia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4201027/
https://www.ncbi.nlm.nih.gov/pubmed/25105770
http://dx.doi.org/10.1016/j.ijscr.2014.07.004
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