open access

Vol 7, No 2 (2005)
Published online: 2005-09-06
Get Citation

Outcome of femoral hernia repair with a pediculated fascial flap

Roman Kuśnierczyk, Wiesław Piątkowski
Chirurgia Polska 2005;7(2):85-94.

open access

Vol 7, No 2 (2005)
Published online: 2005-09-06

Abstract

Background: This paper presents the results of the operative treatment of patients with femoral hernias using our own method.
Material and methods: Between 3.04.98 and 14.12.2004, 35 patients underwent femoral hernia repair using a transinguinal access. The hernia ring was secured with a pediculated flap taken from the medial crus of the aponeurosis of the external oblique abdominal muscle; the inguinal canal was strengthened by duplication of the transverse fascia and lateral crus of the aponeurosis.
Results: During the postoperative period, neither femoral nor inguinal hernia recurrences were found; the wounds were healed by first intention. In only 3 patients was transient hypoaesthesia within the fossa ovalis skin observed, which subsided spontaneously. No other complications developed.
Conclusions: A transinguinal access provides good conditions for repair of the femoral hernia sac and for intraoperative diagnosis of multiple hernias as it is safe in the preparation of femoral foramen structures. The operative technique proposed strengthens the myopectoneal hiatus without causing tension, effectively preventing recurrences of femoral and inguinal hernias. The use of the patient’s own fascial tissue (pediculated fascial flap) in the vicinity of the femoral vein and deep lymphatic system of the lower limb is safe and creates no risk of thrombosis or lymphorrhagia.

Abstract

Background: This paper presents the results of the operative treatment of patients with femoral hernias using our own method.
Material and methods: Between 3.04.98 and 14.12.2004, 35 patients underwent femoral hernia repair using a transinguinal access. The hernia ring was secured with a pediculated flap taken from the medial crus of the aponeurosis of the external oblique abdominal muscle; the inguinal canal was strengthened by duplication of the transverse fascia and lateral crus of the aponeurosis.
Results: During the postoperative period, neither femoral nor inguinal hernia recurrences were found; the wounds were healed by first intention. In only 3 patients was transient hypoaesthesia within the fossa ovalis skin observed, which subsided spontaneously. No other complications developed.
Conclusions: A transinguinal access provides good conditions for repair of the femoral hernia sac and for intraoperative diagnosis of multiple hernias as it is safe in the preparation of femoral foramen structures. The operative technique proposed strengthens the myopectoneal hiatus without causing tension, effectively preventing recurrences of femoral and inguinal hernias. The use of the patient’s own fascial tissue (pediculated fascial flap) in the vicinity of the femoral vein and deep lymphatic system of the lower limb is safe and creates no risk of thrombosis or lymphorrhagia.
Get Citation

Keywords

femoral hernia; aponeurosis; fascial flap; new technique

About this article
Title

Outcome of femoral hernia repair with a pediculated fascial flap

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 7, No 2 (2005)

Pages

85-94

Published online

2005-09-06

Bibliographic record

Chirurgia Polska 2005;7(2):85-94.

Keywords

femoral hernia
aponeurosis
fascial flap
new technique

Authors

Roman Kuśnierczyk
Wiesław Piątkowski

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Via MedicaBy "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl