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25-01-2024 | Femoral Hernia | Original Article

Femoral hernia in pediatric population: a diagnostic and surgical challenge

Authors: Cristina Martucci, Simone Frediani, Antonella Accinni, Ivan Pietro Aloi, Arianna Bertocchini, Alessandro Crocoli, Silvia Madafferi, Valerio Pardi, Giorgio Persano, Alessandro Inserra

Published in: Hernia | Issue 2/2024

Abstract

Purpose

Femoral hernia (FH) is a rare and often misdiagnosed pathology in pediatric population. The aim of our study was to describe the experience of a Tertiary Center in children with FH, underlying diagnostic and surgical details that could improve its management.

Methods

A retrospective study of pediatric patients who underwent FH repair from January 2010 to June 2023 at our Institution was performed.

Results

In the analyzed period, 31 patients underwent surgical procedure for FH at our institution, of whom 16 (51.6%) were female. The mean age at time of surgery was 5.8 years (range 0.5–17.1 years). The rate of pre-operative misdiagnosis was 35.5% and open approach was adopted in all cases (16.1% with mesh application). Only two patients (6.4%) experienced surgical complications: one recurrence (repaired six months later) and one post-operative hematoma (treated successfully with conservative method).

Conclusion

Due to the high rate of misdiagnosis, the variety of surgical approaches proposed, and the potential for intraoperative complications, FH poses a challenge for pediatric surgeons and urologists, as confirmed by the literature. It is essential to underline the importance of a proper clinical examination in order to correctly diagnose FH, make the best surgical plan for the patient and prevent post-operative complications.

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Title: Femoral hernia in pediatric population: a diagnostic and surgical challenge
Authors: Cristina Martucci
Simone Frediani
Antonella Accinni
Ivan Pietro Aloi
Arianna Bertocchini
Alessandro Crocoli
Silvia Madafferi
Valerio Pardi
Giorgio Persano
Alessandro Inserra
Publication date: 25-01-2024
Publisher: Springer Paris
Keywords: Femoral Hernia
Inguinal Hernia
Pathology
Published in: Hernia / Issue 2/2024
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-023-02953-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Femoral hernia in pediatric population: a diagnostic and surgical challenge

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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