Clinical study on the repair of femoral hernia by the Hesselbach triangle entry route

Abstract

Objective To explore the clinical significance of Hesselbach triangle entry approach to the repair of femoral hernia. Methods A retrospective analysis of forty patients with femoral hernia from January 2012 to December 2016 in the Affiliated Hospital of Southwest Jiaotong University was carried out. The anterior surgical approach was used to repair the femoral ring below the inguinal ligament in group A, and above the Hesselbach triangle for repair in group B, with 20 cases in each group respectively. The operation time, hospitalization time, intraoperative bleeding, intraoperative discovery of concealed sputum, intraoperative use of patches, incarcerated sputum content and its treatment, early complications and other clinical data were collected and compared. Results There were no significant differences in operation time, hospitalization time, intraoperative blood loss, intestinal resection, omental resection, intraoperative occult sputum, intraoperative patch, postoperative recurrence, postoperative incision infection, seroma and retention between two groups (t=1.063, 0.117, 0.274, χ2=0.257, 0.305, 3.243, 0.173, 2.105, 0.360, 0.173, 0.229, P=0.294, 0.907, 0.781, 0.612, 0.581, 0.072, 0.677, 0.147, 0.548, 0.677, 0.633). In group A, the incidence of incision exploration, postoperative foreign body sensation, and lower extremity intermuscular venous thrombosis were significantly higher than those in group B, and the differences were statistically significant (χ2=9.794, 7.025, 5.625, P=0.002, 0.008, 0.018). Conclusion It is safe and effective for the repair of the femoral hernia through the Hesselbach triangle entry into the inguinal ligament. Key words: Hernia, femoral; Front approach; Hesselbach triangle