How do they repair a femoral hernia?

The femoral canal (a channel containing the main blood vessels and nerves leading to the thigh) is opened and the surgeon places the lump of fatty tissue or loop of bowel back into your tummy. The femoral canal is then closed, often with a mesh plug, to repair the weak spot that let the hernia through.

What is a TAPP procedure?

LIHR was started using the transabdominal preperitoneal (TAPP) approach. TAPP repair involves formation of a peritoneal flap and placement of a mesh in the preperitoneal space. The mesh is then held in place using a tacker.

What is a McVay repair?

The McVay repair uses autogenous tissue to close the floor of the canal. Because the femoral canal is also closed, this is a good repair to use when an associated femoral hernia is found at repair of an inguinal hernia. This repair can succeed only if the fascia is strong.

What is the best method of hernia repair?

The open surgical repair of primary inguinal hernias is better than the laparoscopic technique for mesh repair, a new study has shown (New England Journal of Medicine 2004;350: 1819-27 [PubMed] [Google Scholar]).

Can a femoral hernia be repaired without mesh?

Overall, hernia repairs with and without mesh both proved effective in the treatment of hernias, although mesh repairs demonstrated fewer hernia recurrences, a shorter operation time and faster return to normal activities.

Do femoral hernias need surgery?

Femoral hernias are uncommon, accounting for only 3% of all hernias and roughly 6% of all groin hernias. Typically, surgical repair is necessary because femoral hernias can lead to severe complications.

Which is better TEP or TAPP?

TAPP has been reported to be easier to learn but has a higher incidence of visceral injury, postoperative pain, and longer operative time [1]. On the other hand, TEP avoids violation of the peritoneal cavity but is associated with a longer learning curve and a lesser incidence of vascular and visceral injury [1].

What is TEP and TAPP?

The most common laparoscopic techniques for inguinal hernia repair are transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. In TAPP the surgeon goes into the peritoneal cavity and places a mesh through a peritoneal incision over possible hernia sites.

What is Nyhus repair?

Posterior repair (iliopubic tract repair and Nyhus technique) is performed by dividing the layers of the abdominal wall superior to the internal ring and entering the properitoneal space. Dissection then continues behind and deep to the entire inguinal region.

What is Lichtenstein hernia repair?

A Lichtenstein repair of a direct hernia is a tension-free mesh repair. The direct hernia is isolated from the cord structures, and then invaginated back into the abdominal cavity. The defect in the wall is then closed by suture, after which the mesh is fixed to bridge the defect.

Which is better open or laparoscopic hernia repair?

Recent studies have shown that in the short term laparoscopic repair is superior to open repair in terms of less blood loss, fewer perioperative complications, and shorter hospital stay. Long-term outcomes such as recurrence rates are yet unknown.

Which is better open surgery or laparoscopy?

Conclusions: Laparoscopic surgery has demonstrably better quality-of-life outcomes than open surgery for cholecystectomy, splenectomy, and esophageal surgery. However, open hernioplasty has at least as good, if not better, health status outcomes than laparoscopic repair.