Laparoscopic Femoral Hernia Repair
Femoral hernia accounts for 3–5% of groin hernias and are often diagnosed incidentally during inguinal hernia repair. Because of their increased risk of incarceration, all FH should be repaired when identified, using a mesh to completely cover the myopectineal orifice. A laparoscopic “critical view” of groin hernia anatomy has been recently defined and includes exposure of Hesselbach’s triangle, the pubic tubercle, the space of Retzius, the Iliac vessels, the psoas muscle, and the anterosuperior iliac spine (ASIS). Laparoscopic techniques provide excellent exposure and coverage of both femoral and inguinal hernias.