Abstract

Objective To explore the operation method and clinical effect of anterior tension-free repair of femoral hernia via femoral peritoneum. Methods We retrospectively analyzed 28 adult patients with femoral hernia treated anterior tension-free repair of femoral hernia via femoral peritoneum in the second ward of General surgery, Fourth people's Hospital of Shaanxi Province from December 2016 to June 2018. The operation time, hospital time, postoperation pain, recurrence and related complications were observed. Results The average operative time was 20~31 minutes. No pressure bandage was applied to the incision after operation, and all patients got out of bed on the day of operation. There was slight pain in the wound during hospitalization. The average hospital stay was 2.6 days. Fat liquefaction occurred in 1 case within 1 week after operation. There was no seroma, incision infection, lymphatic leakage, infection of mesh and recurrence during follow-up. Conclusion It is safe and reliable to treat femoral hernia with anterior tension-free repair of femoral peritoneum via femoral peritoneum. The operation is relatively easy, so it can be popularized in clinic. Key words: Femoral hernia; Inguinal ligament; Femoral canal; Anterior peritoneal space; Tension-free repair

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