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P033: A OPEN TISSUE REPAIR TECHNIQUE FOR FEMORAL HERNIA: NON-MESH, SMALL SIZED INFRA-INGUINAL, UNDER LOCAL ANESTHESIA.
Hyun Suk Kang, MD; Yoon Sik Kang, MD, PhD; Gibbeum Hospital
Introduction: Mesh repair for femoral hernia seems to have promising outcome. However, mesh still has potential risk, such as, intractable pain, infection, etc. In this study, we describe a technique of simple open, non-mesh tissue repair with small sized infra-inguinal approach under local anesthesia.
Methods: We retrospectively reviewed the electrical medical records of all femoral hernia repair patients. All the operation was done under local anesthesia(lidocaine) injected at the infra-inguinal area (swelling area). The size of incision was 3~5cm. After the skin incision, the subcutaneous tissue was dissected and the sac was identified. After the resection of the sac, the opening of the sac was sutured. The stump was pushed back through the femoral canal into the preperitoneal space. Then femoral canal was closed by continuous interlocking suture with 3-0 prolene and the skin was closed. The patients were followed up by telephone contact to check recurrence, pain, leg numbness for primary outcome.
Results: 35 cases in 33 patients were confirmed to have been done the femoral hernia repair. The male to female ratio was 2:9. The median age was 67 years (33-91). 19 patients (57.6%) had right side, 12 patients (36.3%) had left side and 2 patients (6.1%) had both side femoral hernia. 6 hernias (17.1%) in 6 patients (18.2%) had been performed previous hernia operations on the same side. The mean operation time was 34.9 minutes (13-69 minutes). Total 30 hernia repair cases among 29 patients could be followed using telephone contact. The mean duration of follow-up was 3.1 years(1-8.2 years). There was only one suspicious recurrence, no incidence of groin pain, no numbness. No one reported any experience of infection.
Conclusions: This open, non-mesh tissue repair with small sized infra-inguinal approach under local anesthesia is considerable in that it shows low recurrence rate with benefit of eliminating serious potential risk of mesh repair.
Keywords: Femoral hernia • Recurrence • Low incision • Lockwood infra-inguinal repair • Non-Mesh • Local anesthesia • Primary tissue repair
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