Femoral Hernia Repair

Question 1

What is a femoral hernia?

Answer 1

Hernia traveling beneath the inguinal ligament down the femoral canal medial to the femoral vessels (think FM radio, Femoral hernia = Medial)

Question 2

What are the boundaries of the femoral canal?

Answer 2

Posterior: Cooper’s ligament
Anterior: inguinal ligament
Lateral: femoral vein
Medial: lacunar ligament

Question 3

What factors are associated with femoral hernias?

Answer 3

Females
Pregnancy
Exertion

Question 4

What percentage of all hernias are femoral?

Answer 4

5%

Question 5

What percentage of patients with a femoral hernia are female?

Answer 5

85%

Question 6

What are the possible complications of femoral hernias?

Answer 6

Approximately 1/3 incarcerate (due to narrow, unforgiving neck)

Question 7

What is the most common hernia in women?

Answer 7

Indirect inguinal hernia

Question 8

What is the repair of a femoral hernia?

Answer 8

McVay (Cooper’s ligament repair), mesh plug repair