Abstract
During emergency surgery for incarcerated femoral hernia, strangulation of the intestine may often occur. We retrospectively reviewed the clinical characteristics of patients who were diagnosed as having an incarcerated femoral hernia between 2000 and 2011 in Tsuyama Chuo hospital. There were 105 cases of femoral hernia, and incarceration was associated with 62% of the cases (65 patients). Emergency surgery was performed on 47 cases. The average age of the 47 patients was 76 years (25 to 96 years). Bowel resection was performed in 38% of the cases (18 patients). Tension-free hernia repair with the use of a mesh was performed in 53% of the cases (25 patients). In comparison with inguinal hernias encountered between 2000 and 2011, there were 1433 cases of inguinal hernia, and incarceration was associated with 12% of the cases (169 patients). Emergency surgery was performed on 71 cases. Bowel resection was performed in 5.6% of the cases (4 patients). Thus it was confirmed that femoral hernias were more frequently associated with incarceration and strangulation of the intestine.
