Femoral Hernia

  • Daniel E. SwartzEmail author
  • Edward L. Felix


The femoral hernia, despite accounting for less than 10% of adult groin hernias, is associated with greater risk of incarceration, strangulation, requiring emergency surgery, bowel resection, morbidity and mortality than inguinal hernias. Because the anatomic location is so closely related to the more common inguinal hernia, the diagnosis is often not made until surgery.


Hernia Repair Inguinal Hernia Femoral Hernia Groin Hernia Femoral Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Babar M, Myers E, Matingal J, Hurley ML. The modified Nyhus-Condon femoral hernia repair. Hernia 2010;14:271–285.PubMedCrossRefGoogle Scholar
  2. 2.
    Crawford DL, Hiatt JR, Phillips EH. Laparoscopy identifies unexpected groin hernias. Am Surg 1998;64(10):976–978.PubMedGoogle Scholar
  3. 3.
    Griffin KJ, Harris S, Tang TY, Skelton N, Reed JB, Harris AM. Incidence of contralateral occult inguinal hernia found at the time of laparosocpi trans-abdominal pre-peritoneal (TAPP) repair. Hernia 2010;14:345–349.PubMedCrossRefGoogle Scholar
  4. 4.
    Chan G, Chan CK. Longterm results of a prospective study of 225 femoral hernia repairs: Indications for tissue and mesh repair. J Am Coll Surg 2008;207(3):360–367.PubMedCrossRefGoogle Scholar
  5. 5.
    Dahlstrand U, Wollert S, Nordin P, Sandblom G, Gunnarsson U. Emergency femoral hernia repair. A study based on a national register. Ann Surg 2009;249(4):672–676.Google Scholar
  6. 6.
    Garg P, Ismail M. Laparoscopic total extraperitoneal repair in femoral hernia without fixation of the mesh. JSLS 2009;13:597–600.PubMedCrossRefGoogle Scholar
  7. 7.
    Suppiah A, Gatt M, Barandarian J, Heng MS, Perry EP. Outcomes of emergency and elective femoral hernia surgery in four district general hospitals: a 4-year study. Hernia 2007;11(6):509–512.PubMedCrossRefGoogle Scholar
  8. 8.
    Van den Hueval B, Dwars BJ, Klassen DR, Bonjer HJ. Is surgical repair of an asymptomatic groin hernia appropriate? A review. Hernia 2011 Epub ahead of print.Google Scholar
  9. 9.
    Bendavid R. Femoral hernia (Part III): An “umbrella” for femoral hernia repair. In: Bendavid, R., ed. Prostheses and Abdominal Wall Hernias. Boca Raton, CRC Press, 1994:413.Google Scholar
  10. 10.
    Lau WY. History of treatment of groin hernia. World J Surg 2002;26(6):748–759.PubMedCrossRefGoogle Scholar
  11. 11.
    Lichtenstein IL, Shore JM. Simplified repair of femoral and recurrent inguinal hernias by a “plug” technique. Am J Surg 1974;128(3):439–444.PubMedCrossRefGoogle Scholar
  12. 12.
    Read RC. British contributions to modern herniology of the groin. Hernia 2005;9(1):6–11.PubMedCrossRefGoogle Scholar
  13. 13.
    Moschowitz AV. Femoral hernia; a new operation for radical cure. New York J Med 1907;21:1087.Google Scholar
  14. 14.
    Nyhus LM, Condon RE, Harkins HN. Clinial experiences with preperitoneal hernia repair for all types of hernia of the groin. Am J Surg 1960;100:233–244.CrossRefGoogle Scholar
  15. 15.
    Stoppa R, Petit J, Abourachid H, et al. Procede original de plastie des hernia de l’aine: L’Interposition sous fixation d’une prothese en tulle de Dacron par voie mediane sous-peritoneale. Chirurgie 1973;99(2):119–23.PubMedGoogle Scholar
  16. 16.
    Kugel, RD. The Kugel repair for groin hernias. Surg Clin N Am. 2003;83(5):1119–1139.PubMedCrossRefGoogle Scholar
  17. 17.
    Schultz LS, Graber JN, Peritrafitta J, Hickok DF. Early results with laparoscopic inguinal herniorrhaphy are promising. Clin Laser Mon 1990;8(7):103–5.PubMedGoogle Scholar
  18. 18.
    McKernan, JB, Laws, HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc 1993;7(1):26–28.PubMedCrossRefGoogle Scholar
  19. 19.
    Franklin ME Jr, Gonzalez JJ, Glass JL. Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2-year follow-up. Hernia 2004;8(3):186–189.PubMedCrossRefGoogle Scholar
  20. 20.
    Chen J, Lv Y, Shen Y, Liu S, Wang M. A prospective comparison of preperitoneal tension-free open herniorrhaphy with mesh plug herniorrhaphy for the treatment of femoral hernias. Surgery 2010;148:976–981.PubMedCrossRefGoogle Scholar
  21. 21.
    Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorrhaphy. Brit. J. Surg. 2002;89(4):486–488.PubMedCrossRefGoogle Scholar
  22. 22.
    Fitzgibbons RJ Jr, Giobbie-Hurder A, Gibbs JO et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA 2006;295(3):285–292.PubMedCrossRefGoogle Scholar
  23. 23.
    O’Dwyer, P.J., Norrie, J., Alani, A., et al.: Observation or operation for patients with an asymptomatic inguinal hernia: a randomized clinical trial. Ann Surg 2006;244(2):167–173.PubMedCrossRefGoogle Scholar
  24. 24.
    Hollinsky C, Sandberg S. Clinically diagnosed groin hernias without a peritoneal sac at laparoscopy – what to do? Am J Surg 2010;199(6):730–735.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of SurgeryCentral California Institute of Minimally Invasive SurgeryFresnoUSA

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