Year 2019 Vol. 27 No 2




Samara State Medical University1,
Samara City Hospital 10 2, Samara,
The Russian Federation

Objective. To improve the treatment results of patients with uncomplicated femoral hernia by identifying the features of clinical course and reasonable application of the operation methods taking into account a possible destruction of the Cooper ligament.
Methods. The treatment analysis of 46 patients with uncomplicated femoral hernia was performed. There were 12 males (26%) and 34 females (74%). The control group included 24 patients with the repair of hernial orifice with local tissues. The main group included 22 patients in whom prosthetic repair has been used, including using the proposed method of operation. The results evaluation of the femoral canal repair in groups was performed according to the incidence of complications.
Results. In the control group, early complications occurred in 11 patients: hematoma in 3; inflammatory wound infiltration in 4; suppuration of the wound in 4. Late complications were found in 12 patients: pain in the surgical area in 4; parasthesia in 5; groin discomfort in 3, recurrence of the disease was revealed in 4. In the main group, early complications occurred in 4 patients: hematoma in 1, inflammatory wound infiltration in 1, wound suppuration in 1, seroma in 1. Late complications revealed in 3 patients: pain in the area of operation in 1, numbness in 1, discomfort in the inguinal region in 1, disease recurrence was found in 2. The use of prosthetic repair methods of the femoral canal reduced the incidence of early complications by 2.5 times, late complications by 3.7 times the number of the disease recurrence by 2 times.
Conclusions. Plastic surgery of the femoral canal with local tissues and with the use of prosthesis is limited when the ligament of Cooper is destroyed. The proposed method of operation with prosthesis with protrusion along the lower medial edge allows performing the operation when the tissue in the area of the femoral canal is destroyed.

Keywords: femoral hernia, prostheses and implants, diagnostics, operation methods, treatment results
p. 146-152 of the original issue
  1. Nyhus LM. Individualization of hernia repair: a new era. Surgery. 1993 Jul;114(1):1-2.
  2. Zhebrovskii VV, Il’chenko FN. Atlas operatsii pri gryzhakh zhivota. Simferopol’, Ukraina; 2004. 315 p. (in Russ.)
  3. Podluzhnyi VI, Krasnov OA, Kotov MS, Starchenkov SB. Pakhovaia i bedrennaia gryzhi: monogr. Kemerovo, RF; 2015. 143 p. (in Russ.)
  4. Whalen HR, Kidd GA, O’Dwyer PJ. Femoral hernias. BMJ. 2011 Dec 8;343:d7668. doi: 10.1136/bmj.d7668
  5. Babar M, Myers E, Matingal J, Hurley MJ. The modified Nyhus-Condon femoral hernia repair. Hernia. 2010 Jun;14(3):271-75. doi: 10.1007/s10029-009-0606-y
  6. Chen J, Lv Y, Shen Y, Liu S, Wang M. A prospective comparison of preperitoneal tension-free open herniorrhaphy with mesh plug herniorrhaphy for the treatment of femoral hernias. Surgery. 2010 Nov;148(5):976-81. doi: 10.1016/j.surg.2010.02.006
  7. Roth N, Gangl O, Havlicek W, Függer R. The impact of emergency surgery on results of femoral hernia repair. Eur Surg. 2010 Dec;42(6):299-303. doi: 10.1007/s10353-010-0573-7
  8. Humes DJ, Radcliffe RS, Camm C, West J. Population-based study of presentation and adverse outcomes after femoral hernia surgery. Br J Surg. 2013 Dec;100(13):1827-32. doi: 10.1002/bjs.9336
  9. Nilsson H, Stylianidis G, Haapamäki M, Nilsson E, Nordin P. Mortality after groin hernia surgery. Ann Surg. 2007 Apr;245(4):656-60. doi: 10.1097/01.sla.0000251364.32698.4b
  10. Dahlstrand U, Wollert S, Nordin P, Sandblom G, Gunnarsson U. Emergency femoral hernia repair: a study based on a national register. Ann Surg. 2009 Apr;249(4):672-76. doi: 10.1097/SLA.0b013e31819ed943
  11. Chan G, Chan CK. Longterm results of a prospective study of 225 femoral hernia repairs: indications for tissue and mesh repair. J Am Coll Surg. 2008 Sep;207(3):360-67. doi: 10.1016/j.jamcollsurg.2008.04.018
  12. Nasibyan AB. The problems of treatment of the patients with recurrent inguinal hernia and the ways of their solution. Aspirant Vestn Povolzh’ia. 2011;(5-6):147-50. (in Russ.)
  13. Dahlstrand U, Sandblom G, Wollert S, Gunnarsson U. Limited potential for prevention of emergency surgery for femoral hernia. World J Surg. 2014 Aug;38(8):1931-36. doi: 10.1007/s00268-014-2539-6
Address for correspondence:
443099, The Russian Federation,
Samara, Chapaevskaya Str., 89,
Samara State Medical University,
Department of Surgical Diseases 2.
Tel. office: +7 846 337-02-96,
e- mail:,
Vladimir I. Belokonev
Information about the authors:
Belokonev Vladimir I., Honored Doctor of the Russian Federation, MD, Professor, Head of the Department of Surgical Diseases 2, Samara State Medical University, Samara, Russian Federation.
Zharov Andrey V., Extramural Post-Graduate Student of the Department of Surgical Diseases 2, Samara State Medical University, Surgeon of Samara City Hospital 10 Samara, Russian Federation.
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