Summary
From 1 January 1992 to 31 December 1997 18,281 inguinal hernias and 588 femoral hernias were recorded in the Swedish Hernia Register. The aim of the present study was to characterise these femoral hernias and to evaluate the reoperation rate following their repair. 64% of all femoral hernias were located in the right groin and 36% in the left groin (p < 0.001). The male to female ratio for femoral hernia was 1:1.6; mean ages of patients with femoral and inguinal hernia were 63.4 ± 17.1 and 59.1 ± 16.4 years, respectively (p < 0.001). Emergency surgery and bowel resection at emergency surgery were more common with femoral than with inguinal hernia. The rate of ambulatory surgery was lower for femoral hernia than for inguinal hernia, mainly due to the higher emergency rate for femoral hernia. At three years the cumulative incidence of reoperation was 4.6% (95% confidence interval 2.4–6.8%) for femoral hernia and 4.0% (95% confidence interval 3.6–4.4%) for inguinal hernia (p > 0.05). Male sex and postoperative complications were associated with a significantly increased risk of reoperation following femoral hernia repair. The relative risk of reoperation was not affected by patient age, elective/emergency surgery, primary/recurrent hernia or hernia side. Repair techniques using mesh were associated with a lower reoperation rate than techniques without mesh, although the difference did not reach statistical significance.
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References
Berliner SD (1990) The femoral cone and its clinical implications. Surg Gynecol Obstet 171: 111–114
Chamary VL (1993) Femoral hernia: intestinal obstruction is an unrecognized source of morbidity and mortality. Br J Surg 80: 230–232
Chaves SR, Henriques PRF (1993) Hérnia femoral: bases anatômicas para sua maior incidência à direita. Rev Hosp Clin Fac Med S Paulo 48: 87–90
Devlin HB, Kingsnorth A (eds) (1998) Management of abdominal hernias. 2nd Edn: 199–209
Glassow F (1971) Femoral hernia in men. Am J Surg 121: 637–640
Glassow F (1985) Femoral hernia. Review of 2,105 repairs in a 17 year period. Am J Surg 150: 353–356
Gustafsson L (1991) Quest. A computer program for statistical and epidemiological analysis. 6.0. Umeå University
Haapaniemi S, Sandblom G, Nilsson E (1999) Mortality after elective and emergency operation for inguinal and femoral hernia. Submitted
Hjaltason E (1981) Incarcerated hernia. Acta Chir Scand 147: 263–267
Kald A, Nilsson E, Anderberg B, Bragmark M, Engström P, Gunnarsson U, Haapaniemi S, Lindhagen J, Nilsson P, Sandblom G, Stubberöd A (1998) Reoperation as surrogate endpoint in hernia surgery. A three year follow-up of 1565 herniorrhaphies. Eur J Surg 164: 45–50
Kemler MA, Oostvogel HJM (1997) Femoral hernia: is a conservative policy justified? Eur J Surg 163: 187–190
Ljungdahl I (1973) Inguinal and femoral hernia. An investigation of 502 own operated cases. Acta Chir Scand Suppl 439
Naude G, Ocon S, Bongard F (1997) Femoral hernia: the dire consequences of a missed diagnosis. Am J Emerg Med 15: 680–682
Nicholson S, Keane TE, Devlin HB (1990) Femoral hernia: an avoidable source of surgical mortality. Br J Surg 77: 307–308
Nilsson E, Haapaniemi S, Gruber G, Sandblom G (1998) Methods of repair and risk for reoperation in Swedish hernia surgery 1992–1996. Br J Surg 85: 1986–1691
Rutkow IM (1998) Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surg Clin North Am 78: 941–951
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Sandblom, G., Haapaniemi, S. & Nilsson, E. Femoral hernias: a register analysis of 588 repairs. Hernia 3, 131–134 (1999). https://doi.org/10.1007/BF01195312
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DOI: https://doi.org/10.1007/BF01195312