Open Femoral Hernia Repair
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Inguinal ligament exposure

Skin

Incise

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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