Cervantes-Castro J, Rojas-Reyna G, Cicero-Lebrija A, Menéndez-Skertchly AL

Language: Spanish
References: 20
Page: 239-242
PDF size: 273.44 Kb.

ABSTRACT

Background: The femoral hernia, the least common of all groin hernias, is seen most frequently in females. The main techniques for repair are femoral, inguinal and extraperitoneal Cheatle-Henry. With laparoscopic surgery, total extraperitoneal technique is done with a patch to cover the femoral ring. We undertook this study to present the experience with the Cheatle-Henry operation for treatment of femoral hernia.
Methods: The study took place at the ABC Hospital, a third-level care institution in Mexico City. The study design was retrospective, observational, and descriptive. Medical records of patients with femoral hernias treated by the authors during a 27-year period utilizing the Cheatle-Henry operation were analyzed.
Results: Thirty nine patients with femoral hernia treated with the Cheatle-Henry operation were found. There were 34 females (87.2%) and five males (12.8%) with an average age of 48 years, (range: 18-84 years). Hernia was more common on the right side with 31 cases (79.48%). Elective surgery was done in 26 cases (66.65%) and emergency operations were done in 13 patients (33.53%). There was no morbidity/mortality.
Conclusions: Cheatle-Henry operation is a safe and secure technique to operate on femoral hernia, which is the least common of all groin hernias.

REFERENCES

1. Glassow F. Femoral hernia: review of 2105 cases. Am J Surg 1965;150:353-356.

2. Alimoglu O, Kaya B, Okan I, Darisan F, Guzey Dk, Bas G, et al. Femoral hernia: a review of 83 cases. Hernia 2006;10:10-13.

3. Sandblom G, Haapaniemi S, Nilsson E. Femoral hernia: a register analysis of 588 repairs. Hernia 1999;3:131-134.

4. Chan G, Chan CK. Long term results of a prospective study of 225 femoral hernia repairs: indications for tissue and mesh redos. JAMC Surg 2008;04:360-367.

5. Rutledge RH. Cooper’s ligament repair: a 25 year experience with a single technique for all groin hernias in adults. Surgery 1988;103:1-10.

6. Vebe SA. Radical operation der hernien. Arch F Klin Chir 1879;24:391-398.

7. Hachisuka T. Femoral hernia repair. Surg Clin North Am 2003;83:1189-1205.

8. McVay CB. Inguinal and femoral hernioplasty surgery. Surg Tech 1965;57:615-625.

9. Cheatle GL. An operation for the radical cure of inguinal and femoral hernia. BMJ 1920;2:68-69.

10. Henry AK. Operation for a femoral hernia by midline extraperitoneal approach. Lancet 1936;1:531-533.

11. Nyhus LM, Coondon RE, Harkins HN. Clinical experiences with preperitoneal hernia repair for all types of hernia of the groin. Am J Surg 1960;100:234-244.

12. Nyhus LM. The preperitoneal approach and iliopubic tract repair of femoral hernia. En: Nyhus LM, Condon RE, eds. Hernia. 4th ed. Philadelphia: JB Lippincott; 1995. pp. 1178-1187.

13. Phillips EH, Carroll BJ, Falls MJ. Laparoscopic preperitoneal inguinal hernia repair without peritoneal incision. Surg Endosc 1993;7:159-162.

14. Waddington RT. Femoral hernia: a recent appraisal. Br J Surg 1971;58:920-922.

15. Lichtenstein IL, Shore JM. Simplified repair of femoral and recurrent inguinal hernia by a “plug” technique. Am J Surg 1974;128:439-444.

16. Cervantes J. Inguinal hernia in the New Millennium. World J Surg 2004;28:343-347.

17. Naude GP, Ocon S, Bongard F. Femoral hernia: the dire consequences of a missed diagnosis. Am J Emerg Med 1997;15:678-684.

18. Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorrhapy. Br J Surg 2002;89:486-488.

19. Robinson P, Hensor E, Landsdown MJ, Ambrose NS, Chapman AH. Inguinofemoral hernia: accuracy of sonography in patients with indeterminate clinical features. Am J Radiol 2006;187:1168-1178.

20. Suzuki S, Furvi S, Okinaga K, Sakamoto T, Murata J, Furukawa A, et al. Differentiation of femoral versus inguinal hernia: CT findings. Am J Radiol 2007;189:78-83.