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November 16, 1963

Femoral Artery Injury During Inguinal Herniorrhaphy

Author Affiliations

Durham, NC

From the Department of Surgery, Duke University Medical Center. Dr. Mendenhall is now in Abilene, Tex.

JAMA. 1963;186(7):731-732. doi:10.1001/jama.1963.63710070020019d

INJURY to the femoral vessels during inguinal herniorrhaphy is of constant concern to the general surgeon. In most repairs of the floor of the inguinal canal, sutures are placed through the inguinal ligament directly above the femoral artery and vein. The Cooper's ligament repair as described by McVay is particularly apt to endanger these vessels. Because of this unique anatomic arrangement and because of the vast numbers of inguinal hernias which are repaired, one would expect this complication to occur with some frequency. This does not seem to be the case, however, and a review of the literature for the last five years did not yield a single reported case! Marsden1 has presented a three-year review of 2,000 inguinal herniorrhaphies with an infection rate of 6%. There were 24 patients who developed thrombotic incidents, including cornary, cerebral, axillary, and calf vessels and three additional patients without leg symptoms who

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