title: An alternative anterior tension free preperitoneal patch technique by help of the endoscope for femoral hernia repair.
abstract: BACKGROUND
  Femoral hernias are relatively uncommon and have a higher risk for strangulation and incarceration. We introduce an alternative anterior tension free inlay patch technique by help of the endoscope for femoral hernia repair.
  
  
  METHODS
  Characteristics of patients undergoing femoral hernia repair between March 2006-April 2011 and description of the surgical technique is presented.
  
  
  RESULTS
  We analyzed our experience with this technique in 26 consecutive patients with femoral hernias (1 bilateral, 15 right, 10 left femoral hernia) in 5 year period. Seven of these 26 femoral hernias were recurrent and 2 of them were concomitant with inguinal hernia. Mean operation time was 30.0 ± 12.1 min. Seroma was seen in 2 patients at postoperative 1st week. There were no; hematoma, wound infection and separation of wound edges and early recurrence at postoperative 1st week and 1st month. The mean follow up period was 41.8 ± 18.2 months. All of 22 patients who were contacted were satisfied with the operation. There was no recurrence, chronic pain and foreign body feeling in any patient at the end of the follow-up period.
  
  
  CONCLUSIONS
  This feasible and safe alternative anterior inlay patch repair might be used in all femoral hernias with the exception of the ones requiring intestinal resection.
authors.affiliation: Atatürk Research and Training Hospital, General Surgery Department, Turkey. Electronic address: drfahriyetisir@hotmail.com.
authors.forename: Fahri
authors.initials: F
authors.lastname: Yetişir
authors.forename: A Ebru
authors.initials: AE
authors.lastname: Salman
authors.forename: Onur
authors.initials: O
authors.lastname: Özlü
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kiliç
mesh_terms: D000368:Aged; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006550:Hernia, Femoral / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology
keywords: Endoscopy; Femoral hernia; Mesh; Strangulation