Femoral hernias are not as common as inguinal hernias. They only constitute about 1/30 of all groin hernias. This makes them more difficult to study than inguinal hernias, and literature on the subject is unfortunately rather sparse. However, femoral hernias are clinically of great significance due to their propensity for emergency presentation. They have a higher risk for strangulation and need for bowel resection during surgery. Linked to this is a higher morbidity and mortality than for inguinal hernia, even if no such over-risk is seen for the electively repaired hernias. Femoral hernias are more common in women with a steady increase in risk for occurrence throughout life. Several surgical approaches and techniques have been described. Femoral hernias should be repaired electively with a preperitoneal mesh repair technique whenever possible.
KeywordsHernia Femoral Epidemiology Diagnosis Strangulated hernia Surgical approaches
This is an updated version of the chapter authored by Patrick J. O’Dwyer. Patrick J. O’Dwyer has not participated in the revision of this chapter for the fifth edition.
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