Laparoscopic totally extraperitoneal mesh repair for femoral hernia.

Abstract

BACKGROUND:

The role of laparoscopic repair for femoral hernia has not been clearly defined, although the advantages of this technique for repair of inguinal hernia are well recognized.

AIM:

The aim of this study was to assess the outcome of laparoscopic total extraperitoneal (TEP) repair of femoral hernia.

METHODS:

Case records of patients who had laparoscopic TEP repair of femoral hernia between 1994 and 2002 were reviewed retrospectively. Patients' demographic details, presentation, operative details, and follow-up information were gathered from the clinical records. Postoperative complications, chronic pain, and recurrence of the hernia were assessed.

RESULTS:

Fifteen patients, 10 males and 5 females, with a mean age of 55 years (range, 33-84 years) underwent laparoscopic TEP femoral hernia repair. Fourteen patients (93.3%) had a primary femoral hernia, and one had a recurrent femoral hernia. In 9 (60%) patients the hernia was irreducible but not obstructed. There were no postoperative complications or chronic pain. One patient (7%) with a small (11 x 6 cm) mesh developed an inguinal recurrence.

CONCLUSION:

Laparoscopic TEP repair is a suitable technique for repair of femoral hernia, including irreducible but not obstructed femoral hernias.

• Authors: Satheesh Yalamarthi, Sudhir Kumar, Emma Stapleton, Stephen J Nixon
• Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A (J Laparoendosc Adv Surg Tech A) Vol. 14 Issue 6 Pg. 358-61 (Dec 2004) ISSN: 1092-6429 [Print] United States
• PMID: 15684782 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Female
• Hernia, Femoral (surgery)
• Humans
• Laparoscopy (methods)
• Male
• Middle Aged
• Pain, Postoperative
• Postoperative Complications
• Recurrence
• Retrospective Studies
• Surgical Mesh
• Treatment Outcome