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Open Posterior Approaches for Femoral Hernia Repair

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The Art of Hernia Surgery

Abstract

As open preperitoneal techniques had their revival during the recent decade, femoral hernias can quite easily be managed by an open posterior approach as well. Historically, many of the nowadays more popular open posterior techniques have been described in detail by predecessors as McEvedy, Lloyd Nyhus, George Wantz, and René Stoppa. Most of them were meant for treatment of inguinal hernias, but over time the open preperitoneal techniques were used for femoral hernia repair as well.

Currently, several posterior techniques are being used worldwide with all their specifics and different types of meshes. These techniques are all quite similar from an anatomical point of view, all aiming for a solid reinforcement of the posterior wall of the inguinal canal and the transversalis fascia and covering all orifices of Fruchaud’s myopectineum, including the femoral canal.

In this chapter different open preperitoneal mesh repairs will be described and discussed. The current literature will be reviewed shortly.

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References

  1. Annandale T. Case in which a reducible oblique and direct inguinal and femoral hernia existed on the same side and were successfully treated by operation. Edinb Med J. 1876;21:1087.

    PubMed  PubMed Central  Google Scholar 

  2. Cheatle GL. An operation for the radical cure of inguinal and femoral hernia. Br Med J. 1920;2(3107):68–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Henry AK. Operation for femoral hernia by a midline extraperitoneal approach with a preliminary note on the use of this route for reducible inguinal hernia. Lancet. 1936;1:531–3.

    Article  Google Scholar 

  4. McEvedy PG. Femoral hernia. Ann R Coll Surg Engl. 1950;7:484–96.

    PubMed  PubMed Central  CAS  Google Scholar 

  5. Nyhus LM, Condon RE, Harkins HN. Clinical experiences with preperitoneal hernia repair for all types of hernia of the groin. Am J Surg. 1960;100:234–44.

    Article  CAS  PubMed  Google Scholar 

  6. Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am. 1984;64(2):269–85.

    Article  CAS  PubMed  Google Scholar 

  7. Kugel RD. Minimally invasive, nonlaparoscopic, preperitoneal, and sutureless, inguinal herniorraphy. Am J Surg. 1999;178:298–302.

    Article  CAS  PubMed  Google Scholar 

  8. Pélissier EP, Monek O, Blum D, Ngo P. The Polysoft patch: prospective evaluation of feasibility, postoperative pain and recovery. Hernia. 2007;11(3):229–34. Epub 2007 Feb 15.

    Article  PubMed  Google Scholar 

  9. Berrevoet F, Sommeling C, De Gendt S, Breusegem C, de Hemptinne B. The preperitoneal memory-ring patch for inguinal hernia: a prospective multicentric feasibility study. Hernia. 2009;13(3):243–9.

    Article  CAS  PubMed  Google Scholar 

  10. Berrevoet F, Vanlander A, Bontinck J, Troisi RI. Open preperitoneal mesh repair of inguinal hernias using a mesh with nitinol memory frame. Hernia. 2013;17(3):365–71.

    Article  CAS  PubMed  Google Scholar 

  11. Akkersdijk WL, Andeweg CS, Bökkerink WJ, Lange JF, van Laarhoven CJ, Koning GG. Teaching the transrectus sheath preperiotneal mesh repair: TREPP in 9 steps. Int J Surg. 2016;30:150–4. https://doi.org/10.1016/j.ijsu.2016.04.037. [Epub ahead of print].

    Article  PubMed  CAS  Google Scholar 

  12. Sandblom G, Haapaniemi S, Nilsson E. Femoral hernias: a register analysis of 588 repairs. Hernia. 1999;3:131–4.

    Article  Google Scholar 

  13. Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorraphy. Br J Surg. 2002;89:486–8.

    Article  CAS  PubMed  Google Scholar 

  14. Andrews NJ. Presentation and outcome of strangulated external hernia in a district general hospital. Br J Surg. 1981;68:329–32.

    Article  CAS  PubMed  Google Scholar 

  15. Scott NW, McCormack K, Graham P, et al. Open mesh versus non-mesh for repair of femoral and inguinal hernia [review]. Cochrane Database Syst Rev. 2002;4:CD002197.

    Google Scholar 

  16. Dahlstrand U, Wollert S, Nordin P, Sandblom G, Gunnarson U. Emergency femoral hernia repair—a study based on a national register. Ann Surg. 2009;249:672–6.

    Article  PubMed  Google Scholar 

  17. Chan G, Chan CK. Longterm results of a prospective study of 225 femoral hernia repairs: indications for tissue and mesh repair. J Am Coll Surg. 2008;207:360–7.

    Article  PubMed  Google Scholar 

  18. Weyhe D. New worldwide guidelines for treatment of inguinal hernia: the most important recommendations from HerniaSurge. Chirurg. 2017;88(7):628. https://doi.org/10.1007/s00104-017-0386-3. [Epub ahead of print] [Article in German].

    Article  PubMed  CAS  Google Scholar 

  19. Maillart JF, Vantournhoudt P, Piret-Gerard G, Farghadani H, Mauel E. Transinguinal preperitoneal groin hernia repair using a preperitoneal mesh preformed with a permanent memory ring: a good alternative to Lichtenstein’s technique. Hernia. 2011;15(3):289–95. https://doi.org/10.1007/s10029-010-0778-5. Epub 2011 Jan 29.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  20. Koning GG, Koole D, de Jongh MA, de Schipper JP, Verhofstad MH, Oostvogel HJ, Vriens PW. The transinguinal preperitoneal hernia correction vs Lichtenstein’s technique; is TIPP top? Hernia. 2011;15(1):19–22. https://doi.org/10.1007/s10029-010-0744-2.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Frederik Berrevoet M.D., Ph.D., F.E.B.S., F.A.C.S. .

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Berrevoet, F. (2018). Open Posterior Approaches for Femoral Hernia Repair. In: Campanelli, G. (eds) The Art of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-72626-7_46

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  • DOI: https://doi.org/10.1007/978-3-319-72626-7_46

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72624-3

  • Online ISBN: 978-3-319-72626-7

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