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Prosthetic repair of prevascular femoral herniation

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Abstract

Introduction

In prevascular femoral hernias the sac is situated anterior to the femoral vessels in the groin. These hernias are rare and a preoperative diagnosis is seldom considered. Traditionally the surgeon had to do the best with the situation that confronted him/her. The aim of this study was to evaluate the use of a prosthetic mesh-plug via a low anterior groin approach.

Methods and results

Over a nine-year period, six patients (all men, aged 46–82 year) were treated for prevascular herniation using a mesh-plug. Five patients had previous groin surgery. Follow-up ranged from 15 months to nine years, during which no recurrence, infection or vascular compromise was detected.

Discussion

Prevascular herniation is rare and the diagnosis may be difficult. Our results suggest that mesh-plug repair via a low approach is feasible and safe and may provide another option for a surgeon encountering a prevascular hernia.

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References

  1. Jamison MH (1981) Prevascular femoral hernia. Br J Clin Prac 35:336–337

    CAS  Google Scholar 

  2. Kruhenbuhl L, Buchler MW (1997) Low, inguinal and high femoral hernia repair. In: Maddern GJ, Hiatt J, Phillips EH (eds) Hernia repair: open versus laparoscopic approach. Churchill Livingstone, London, pp 71–82

    Google Scholar 

  3. Kingsnorth A, LeBlanc KA (2003) Management of abdominal hernias. 3rd edn, Arnold, London, pp 217–227

    Google Scholar 

  4. Shouldice EB (2003) The Shouldice repair for groin hernias. Surg Clin North Am 83:1163–1188

    Article  PubMed  Google Scholar 

  5. Aldridge AJ, Packham IM, Nash AG (2001) Prevascular hernia: a rare cause of chronic obscure groin pain after inguinal hernia repair. Hernia 5:53–55

    Article  PubMed  CAS  Google Scholar 

  6. Stephenson BM (2003) Complications of open groin hernia repairs. Surg Clin North Am 83:1255–1278

    Article  PubMed  Google Scholar 

  7. Jeans S, Williams GL, Stephenson BM (2007) Migration after open mesh plug inguinal hernioplasty. Am Surg 73:207–209

    PubMed  Google Scholar 

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Acknowledgments

The authors thank Ms Jan Sharp for the illustrations.

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Authors and Affiliations

  1. Department of Surgery, Royal Gwent Hospital, Newport, NP20 2UB, UK

    G. L. Williams, A. Riddell, J. Coulston, B. Frost & B. M. Stephenson

Authors
  1. G. L. Williams
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  2. A. Riddell
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  3. J. Coulston
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  4. B. Frost
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  5. B. M. Stephenson
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Corresponding author

Correspondence to B. M. Stephenson.

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Williams, G.L., Riddell, A., Coulston, J. et al. Prosthetic repair of prevascular femoral herniation. Hernia 11, 513–515 (2007). https://doi.org/10.1007/s10029-007-0263-y

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  • DOI: https://doi.org/10.1007/s10029-007-0263-y

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