Open Femoral Hernia Repair
This Open Femoral Hernia Repair course will teach you:
- Prevention of incarceration by reduction or resection of the (strangulated) hernial sac
- Tension-free closure of the femoral ring using a synthetic mesh.
Special attention is paid to the following hazards you may encounter during this Open Femoral Hernia Repair procedure:
- Subcutaneous epigastric vein injury
- Viability of hernial sac contents
- Femoral vein damage
With the following tips you might perform this Open Femoral Hernia Repair procedure even better:
- Managing an occult inguinal hernia
- Splitting the lacunar ligament when reduction of the hernia sac is not possible
- What to do in case of a necrotic bowel
After studying this Open Femoral Hernia Repair course you are familiar with the most common complications:
- Seroma and surgical site infection
- Chronic postoperative inguinal pain
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Step by step
Inguinal ligament exposure
Incise the skin in a linear direction between the superior anterior iliac spine to the pubic tubercle, preferably following the Langer’s skin lines, to ensure an optimal cosmetic outcome.
Subcutaneous epigastric vein injury
Care should be taken during the skin incision to identify and ligate the epigastric vein. This vein drains directly into the saphenous vein. Insufficient ligation (e.g. by electro-cauterization) can result in postoperative hemorrhage, so adequate ligation is important.
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