title: Mini-mesh repair for femoral hernia.
abstract: BACKGROUND
  Femoral hernia consists only 4% of all primary groin hernias. It is described as "the Bête Noire of Hernias" because of its nature and anatomy which is difficult to understand for the surgeons and tendency to recurrence. Although there is some large series of femoral hernia in the literature, few studies prospectively comparing repair techniques especially for this type of hernia has been published. A new technique named mini-mesh repair is described here.
  
  
  METHODS
  After hernia sac is dissected completely and sent back into the preperitoneal space, femoral canal is exposed. A round or oval shaped patch is prepared in 1.5-2.5cm in diameter according to the size of the femoral canal. Mesh is secured to the Cooper's ligament with 2/0 polypropylene suture. Eight femoral hernias in 8 patients were repaired with this new technique. Patient satisfaction is very good. One seroma and one limited ecchymosis were recorded. No recurrence was observed in a mean follow-up of 22.4 months. No chronic pain was recorded.
  
  
  CONCLUSIONS
  Many techniques for femoral hernia repair have been described to date with a variety of clinical outcomes. Each technique has its own advantages and disadvantages. Mesh repairs without tension seems to be better choices. When the transversalis fascia is healthy and strong in a patient with femoral hernia a large piece of mesh may be unnecessary. The simple technique described in this paper can be a good alternative. It is totally problem-oriented, and the burden of prosthetic material is very limited.
  
  
  CONCLUSIONS
  Mini mesh repair may be a good solution for selected patients with femoral hernia.
authors.affiliation: Diskapi Yildirim Beyazit Teaching and Research Hospital, Department of Surgery, Ankara, Turkey; Rize University School of Medicine, Department of Surgery, Rize, Turkey. Electronic address: hakankulacoglu@hotmail.com.
authors.forename: Hakan
authors.initials: H
authors.lastname: Kulacoglu
keywords: Femoral hernia; Hernia repair; Mesh
references.citation: Surg Clin North Am. 2003 Oct;83(5):1189-205
references.pmid: 14533910
references.citation: Surg Gynecol Obstet. 1987 Aug;165(2):153-6
references.pmid: 3603343
references.citation: Am Surg. 2004 Apr;70(4):298-9
references.pmid: 15098779
references.citation: Int Surg. 1989 Apr-Jun;74(2):99-100
references.pmid: 2753631
references.citation: J Am Coll Surg. 2008 Sep;207(3):360-7
references.pmid: 18722941
references.citation: Hernia. 2004 Feb;8(1):1-7
references.pmid: 14505236
references.citation: Am Surg. 2006 Dec;72(12):1210-1
references.pmid: 17216820
references.citation: Hernia. 2006 Mar;10(1):70-3
references.pmid: 16283073
references.citation: Surgery. 2010 Nov;148(5):976-81
references.pmid: 20356615
references.citation: Am J Surg. 1985 Sep;150(3):353-6
references.pmid: 4037195
references.citation: Hernia. 2001 Sep;5(3):135-8
references.pmid: 11759798