Abstract
Ten years of experience with femoral hernia in children is reviewed. The following principles emerge from examples noted. Although femoral hernia is rare in childhood, it should be considered, especially in recurrent inguinal hernias or where the operative findings do not match the preoperative diagnosis. Nothing substitutes for a careful preoperative examination. A bulge inferior to the inguinal canal and Poupart's ligament suggests a femoral hernia. Repair of both direct and femoral hernias is best accomplished using Cooper's ligament. Poupart's ligament repair should never be used, as this weakens the femoral canal and may lead to an iatrogenic femoral hernia.
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