Indian Journal of Surgery

, Volume 81, Issue 4, pp 409–411 | Cite as

Open Surgery for Femoral Hernias: a Single Approach with Double Window for All

  • Bapurapu Rajaram Email author
  • Vallabhas Srinivas Goud 
  • Dodda Ramesh Kumar 
  • Bande Karunakar Reddy 
Surgical Techniques and Innovations


Femoral hernias are relatively less frequent than inguinal hernias but most often strangulated, which carries significant mortality. The multiple approaches are described to deal femoral hernias including three classical approaches. Each approach describes a separate skin incision and dissection to access the femoral sac. We propose a single approach with double window for all femoral hernias. Inguinal canal is opened by inguinal skin crease incision which is taken over medial half of inguinal ligament. The sac is identified, released from femoral canal, and traced up to the defect of herniation (window-1) If bowel is gangrenous, a second window is made at McBurney’s point by giving another incision as that of gridiron incision (window-2) made by muscle splitting. The gangrenous bowel is dealt from the second window. This new single approach with double window is useful for all elective and emergency femoral hernias. It is easy to perform without any damage to muscles and nerves and obviates the need of multiple approaches.


Femoral hernia Strangulation  Double window A single approach 


Compliance with Ethical Standards

The study was conducted upon the patients (n = 18) after their informed consent at Mahatma Gandhi Memorial Hospital, Kakatiya Medical College, Warangal-506007, Telangana State, India.


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Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Department of General Surgery, Kakatiya Medical CollegeMahatma Gandhi Memorial HospitalWarangalIndia

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