Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 12/2011

01-12-2011

Synchronous femoral hernias diagnosed during endoscopic inguinal hernia repair

Authors: Soni Putnis, April Wong, Christophe Berney

Published in: Surgical Endoscopy | Issue 12/2011

Login to get access

Abstract

Background

During totally extraperitoneal (TEP) endoscopic repair of inguinal hernias, it is possible to see the internal opening of the femoral canal. The aim of our study was to determine the incidence of synchronous femoral hernias found in patients undergoing TEP endoscopic inguinal hernia repair.

Method

This was a retrospective review of prospectively collected data on 362 consecutive patients who underwent 484 TEP endoscopic inguinal hernia repairs during a 5-year period, May 2005 to May 2010. During surgery, both inguinal and femoral canal orifices were routinely inspected. The presence of unilateral or bilateral inguinal and femoral hernias was recorded and repaired accordingly.

Results

There were a total of 362 patients. More males (343, 95%) underwent a TEP hernia repair than females (19, 5%). There were more cases of unilateral (240/362, 66%) than bilateral (122/362, 34%) inguinal hernias. A total of 18 cases of synchronous femoral hernias were found during operation. There was a higher incidence of femoral hernia in females (7/19, 37%) compared to males (11/343, 3%) (P < 0.001). None of the femoral hernias were clinically detectable preoperatively.

Conclusion

Females undergoing elective inguinal hernia repair are more likely to have a synchronous femoral hernia than males. We suggest that all women presenting with an inguinal hernia also have a formal assessment of the femoral canal. TEP endoscopic inguinal hernia repair is an ideal approach as both inguinal and femoral orifices can be assessed and hernias repaired simultaneously during surgery.
Literature
1.
McCormack K, Scott N, Go PM, Ross SJ, Grant A, Collaboration the EU Hernia Trialists (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev (1):CD001785
2.
McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, Vale L, Grant A (2005) Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess 9(14):1–203PubMed
3.
Sayad P, Abdo Z, Cacchione R, Ferzli G (2000) Incidence of incipient contralateral hernia during laparoscopic hernia repair. Surg Endosc 14(6):543–545PubMedCrossRef
4.
Bochkarev V, Ringley C, Vitamvas M, Oleynikoa D (2007) Bilateral laparoscopic inguinal hernia repair in patients with occult contralateral inguinal defects. Surg Endosc 21(5):734–736PubMedCrossRef
5.
Lovisetto F, Zonta S, Rota E, Mazzilli M, Bardone M, Bottero L, Faillace G, Longoni M (2007) Use of human fibrin glue (Tissucol) versus staples for mesh fixation in laparoscopic transabdominal preperitoneal hernioplasty: a prospective, randomized study. Ann Surg 245(2):222–231PubMedCrossRef
6.
Negro P, Basile F, Brescia A, Buonanno GM, Campanelli G, Canonico S, Cavalli M, Corrado G, Coscarella G, Di Lorenzo N, Falletto E, Fei L, Francucci M, Fronticelli Baldelli C, Gaspari AL, Gianetta E, Marvaso A, Palumbo P, Pellegrino N, Piazzai R, Salvi PF, Stabilini C, Zanghì G (2011) Open tension-free Lichtenstein repair of inguinal hernia: use of fibrin glue versus sutures for mesh fixation. Hernia 15(1):7–14PubMedCrossRef
7.
Mikkelsen T, Bay-Nielsen M, Kehlet H (2002) Risk of femoral hernia after inguinal herniorrhaphy. Br J Surg 89(4):486–488PubMedCrossRef
8.
Metadata
Title
Synchronous femoral hernias diagnosed during endoscopic inguinal hernia repair
Authors
Soni Putnis
April Wong
Christophe Berney
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 12/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-011-1781-3

Other articles of this Issue 12/2011

Surgical Endoscopy 12/2011 Go to the issue

Letter-Reply

Reply to: doi: 10.1007/s00464-011-1808-9: Robotic versus laparoscopic total mesorectal excision for rectal cancer: comparative analysis of oncologic safety and short-term outcomes

OriginalPaper

Robot-assisted parenchymal-sparing liver surgery including lesions located in the posterosuperior segments

OriginalPaper

Gaze training enhances laparoscopic technical skill acquisition and multi-tasking performance: a randomized, controlled study

OriginalPaper

Transvaginal natural orifice transluminal endoscopic surgery (NOTES)-assisted laparoscopic adrenalectomy: first clinical experience

Letter--Reply

Effective antireflux surgery and radiofrequency ablation cannot guarantee complete elimination of lower esophageal adenocarcinoma

Letter

Evolution of endoscopic thyroidectomy