Femoral hernia repair

Femoral hernias account for 5% of total external abdominal hernias and are more common in women over the middle. Femoral hernias are more likely to be incarcerated, so early surgical repair is recommended. The diagnosis of femoral hernia is often difficult and even misdiagnosed. If the laparotomy is not performed before the operation and the intestinal obstruction is performed, it will cause difficulties during the operation. Therefore, in the case of adult patients with intestinal obstruction, especially female patients, the femur should be routinely checked before surgery to avoid omission. The principle of femoral hernia repair is basically the same as that of inguinal hernia repair. It is mainly performed by ligating the hernia sac high and repairing the closed femoral tube. Injury to adjacent tissues, especially the bladder, small intestine and obturator artery, should be avoided during the operation. There are two surgical approaches for femoral hernia repair: transfemoral and transinguinal. Both have advantages and disadvantages. The femoral surgery can directly access the hernia sac, which is easy to operate, but it is poorly exposed, especially when the hernia sac is large, it is not easy to ligate high, the femoral hernia is not easy to release the incarceration, and intestinal resection is not easy to perform. . Although the indirect method of inguinal surgery is relatively indirect, the exposure is better, and it can be extended downward to make a longitudinal incision to expose the hernia sac. It is easier to handle larger hernia sacs or incarcerated femoral hernias. Diverted longitudinal incision of the lower abdomen.