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Results for “FEMORAL HERNIA”

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At least 37 records · Page 2Linked to original sources
PubMed1997

Reappraisal of femoral hernia in children.

BACKGROUND: Femoral hernias are rare in children, accounting for fewer than 1 per cent of all paediatric groin hernias. Misdiagnosis is common and a source of complications. There is no consensus on the age and sex distribution or the optimum method of repair. METHODS: A personal experience of four children with femoral hernia is reported together with an institutional review of a further ten hernias encountered during the past 11 years. RESULTS: Peak incidence was between 5 and 10 years of age. Misdiagnosis was common, partly because of the variability in presenting symptoms and signs. In this series, boys were more commonly affected but a literature review indicated a similar sex incidence. CONCLUSION: A femoral hernia should be positively excluded if the operative findings at inguinal exploration are inconsistent with the preoperative signs and in any child with a suspected recurrent inguinal hernia. Excision of the sac and repair of the femoral canal is curative.

Adolescent↗
PubMed2004

Laparoscopic totally extraperitoneal mesh repair for femoral hernia.

BACKGROUND: The role of laparoscopic repair for femoral hernia has not been clearly defined, although the advantages of this technique for repair of inguinal hernia are well recognized. AIM: The aim of this study was to assess the outcome of laparoscopic total extraperitoneal (TEP) repair of femoral hernia. METHODS: Case records of patients who had laparoscopic TEP repair of femoral hernia between 1994 and 2002 were reviewed retrospectively. Patients' demographic details, presentation, operative details, and follow-up information were gathered from the clinical records. Postoperative complications, chronic pain, and recurrence of the hernia were assessed. RESULTS: Fifteen patients, 10 males and 5 females, with a mean age of 55 years (range, 33-84 years) underwent laparoscopic TEP femoral hernia repair. Fourteen patients (93.3%) had a primary femoral hernia, and one had a recurrent femoral hernia. In 9 (60%) patients the hernia was irreducible but not obstructed. There were no postoperative complications or chronic pain. One patient (7%) with a small (11 x 6 cm) mesh developed an inguinal recurrence. CONCLUSION: Laparoscopic TEP repair is a suitable technique for repair of femoral hernia, including irreducible but not obstructed femoral hernias.

Adult↗
PubMed2001

Diagnosis of a femoral hernia in the elective setting.

UNLABELLED: A femoral hernia accounts for approximately 5-10% of all groin hernias in adults. Misdiagnosis in children, in whom the condition is rare, has been well recognised and documented. The aim of this study was to assess the accuracy of diagnosis in an adult population. METHODS: An analysis of 379 patients with a groin hernia, presenting electively to a University Department of Surgery and entered into a prospective clinical trial. RESULTS: A femoral hernia was confirmed at operation in 12 (3%) patients while a further 4 had a preoperative diagnosis of a femoral hernia. The correct diagnosis of a femoral hernia was made in only 3 cases by general practitioners and in only 6 by surgical staff of all grades. CONCLUSION: These data suggest that medical staff of all grades may be poor at diagnosing a femoral hernia and a change in the way we are taught to differentiate between femoral and inguinal hernia needs to be considered.

Adult↗
PubMed2000

Laparoscopic diagnosis and repair of pediatric femoral hernia. Initial experience of four cases.

Femoral hernias are often misdiagnosed and treated as inguinal hernias. Thus, laparoscopic groin exploration may be a valuable means of evaluating children with presumed recurrent inguinal hernias. This study describes the feasibility of laparoscopic groin exploration and femoral hernia repair in children. Four children (aged 2, 2, 3, and 17 years) with reported unilateral recurrent inguinal hernias underwent diagnostic laparoscopy via a 4-mm pediatric laparoscope. Contralateral defects were visualized in all four patients; there were three femoral hernias and one direct inguinal hernia. None of the contralateral defects had been suspected clinically. Of the seven femoral defects, five were repaired laparoscopically. One patulous defect was repaired by reapproximating the iliopubic tract to Cooper's ligament and overlaying a preperitoneal Teflon felt(R) patch. The other four defects were repaired using a Teflon felt(R) plug and preperitoneal patch. A total of three ports were required in each patient (umbilical, suprapubic, and one in between). Two femoral defects in one patient required open repair because a large lipoma prevented adequate visualization and diagnosis. The direct inguinal hernia was also repaired using the open technique. Laparoscopic groin exploration and femoral hernia repair in pediatric patients is safe and technically feasible. Its advantages, however, such as superior diagnostic ability and simultaneous bilateral tension-free repair, need to be validated with a larger study and longer follow-up.

Adolescent↗
PubMed1987

A femoral "umbrella" for femoral hernia repair.

The morbidity associated with primary and recurrent femoral hernias is reviewed herein, along with the use of the "femoral umbrella" in the management of failure prone femoral hernia and recurrent femoral hernia. Thirty patients have been operated upon with excellent results. The only complication reported was a seroma in two patients. The follow-up period was more than two years. This procedure is a significant and promising one for the cure of large primary femoral hernias and difficult recurrent femoral hernias.

Evaluation Studies as Topic↗
PubMed2002

Risk of femoral hernia after inguinal herniorrhaphy.

BACKGROUND: Small case series have suggested an increased risk of femoral hernia after previous inguinal herniorrhaphy, but no large-scale data with complete follow-up are available. METHODS: Data were extracted from the Danish Hernia Database covering the interval from 1 January 1998 to 1 July 2001, and included 34 849 groin hernia repairs. RESULTS: Of 1297 femoral hernia repairs, 71 patients had previously had an operation for inguinal hernia within the observation period. These 71 femoral hernias represented 7.9 per cent of all reoperations for groin hernia recorded in the database. The median time to reoperation for a 'recurrent' femoral hernia after previous inguinal herniorrhaphy was 7 months, compared with 10 months for inguinal recurrences. The risk of developing a 'recurrent' femoral hernia after previous inguinal herniorrhaphy was 15 times higher than the rate of femoral hernia repair in the general population. CONCLUSION: This study of 34 849 groin hernia repairs demonstrated a 15-fold greater incidence of femoral hernia after inguinal herniorrhaphy compared with the spontaneous incidence. These femoral recurrences occurred earlier than inguinal recurrences, suggesting that they were possibly femoral hernias overlooked at the primary operation.

Adult↗
PubMedDate not supplied

Femoral hernias: primary versus recurrence.

A primary femoral hernia, as a surgical entity, differs markedly from a recurrent femoral hernia in terms of prognosis and outcome. Whereas most primary hernias present with adequate tissues for a reliable repair, the same does not hold true for recurrences, where most immediate and adjacent tissues are scarred or destroyed. The surgeon is then faced with a situation where the necessary structures for a successful repair (ligaments of Poupart, Henle, Gimbernat and Cooper) are relatively rigid. This rigidity precludes the approximation of those structures without tension. This study review 508 femoral herniorrhaphies on 453 patients (251 primary femoral repairs and 257 recurrent femoral hernia repairs). The recurrence rate for primary herniorrhaphies is 6.1%; for recurrent herniorrhaphies, the rate of recurrence is 22.2% on average with a range of 11.8% to 75%.

Female↗
PubMed2005

Bilateral femoral hernia in male--a case report.

Femoral hernia is not a common entity in males and bilateral cases are reported rarely in literatures. Here a case of bilateral femoral hernia which was misdiagnosed as a simple bilateral inguinal hernia in a young male patient is reported. The patient was managed successfully by conventional low approach of Lockwood in the same sitting. He recovered uneventfully and discharged on 5th postoperative day. Laparoscopic technique of repair of femoral hernia is evolving and may replace conventional methods

Adult↗
PubMed1965

Femoral hernia in the female.

A study of 384 consecutive femoral herniorrhaphies performed upon female patients admitted to Shouldice Hospital, Toronto, during a 19-year period was carried out. Its main purpose was to describe the techniques used and to evaluate the results obtained. A careful 10-year follow-up plan for all cases existed.Two hundred and ninety-three operations were performed for the repair of simple femoral hernia; 91 were performed for the repair of femoral hernia which had developed following an initial ipsilateral inguinal or femoral repair performed previously, either in this hospital or elsewhere.The basic repair was subinguinal. Four modifications are described, one entirely subinguinal and three combined with exploration of the inguinal canal.The recurrence rate for simple femoral hernia in the female was 1.3% and for "recurrent" femoral hernia in the female, 5.5%.

Adolescent↗
PubMed1987

Femoral hernias in children. An infrequent problem.

Femoral hernias in children are uncommon and many surgeons have had little exposure to their clinical manifestations. A ten-year survey of our experience with groin hernias in children showed only six children with this condition, which represents 0.12% of this entire population. Definite preoperative diagnosis was made in only two patients, while in the other patients this condition was suspected during herniorrhaphy. Preoperative diagnosis is possible if the bulge appears in a location inferior and lateral to that of the commonly occurring indirect hernia. Any child with early recurrence of a groin swelling after what seems to be an adequate inguinal herniorrhaphy should be suspected of having a femoral hernia.

Age Factors↗