Primary Femoral Hernia: Open Anterior Treatment

  • Stefano Mandalà
  • Camillo La Barbera
  • Cosimo Callari
  • Antonino Mirabella
  • Vincenzo Mandalà


A femoral hernia is an acquired and direct hernia. It is an insidious hernia often asymptomatic; in 30% of cases, the onset is a strangulation, with bowel resection and mortality. In literature, there are three main types of approach. The authors describe an anterior femoral approach performed in the last two decades, with a double disc prosthesis fashioned in a tailored prosthetic repair, with the use of four prosthetic devices according to the characteristics of the femoral ring and femoral canal. The authors show, in detail, the technical steps of this anterior prosthetic procedure, and they highlight some peculiarities in emergency. Finally, they mention their personal series and good results with this technique, which, in their opinion, is fast, reproducible and so easy to perform and to learn.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Stefano Mandalà
    • 1
    • 2
  • Camillo La Barbera
    • 1
    • 2
  • Cosimo Callari
    • 1
  • Antonino Mirabella
    • 3
  • Vincenzo Mandalà
    • 1
  1. 1.Department of General SurgeryBuccheri La Ferla HospitalPalermoItaly
  2. 2.Unit of General Surgery, Noto-Pasqualino HospitalPalermoItaly
  3. 3.General and Emergency Surgery, Villa Sofia—Cervello HospitalsPalermoItaly

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