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April 1971

Problem of Femoral Hernia

Author Affiliations

From the Department of General Surgery, Henry Ford Hospital, Detroit.

Arch Surg. 1971;102(4):417-423. doi:10.1001/archsurg.1971.01350040179034

Femoral hernias occurred in 216 patients in a period of six years, with an overall recurrence rate of 6.5%. The McVay repair, used in cases of strangulation, incarceration, and recurrence, as well many routine cases, was performed upon 101 patients; the McVay Moschcowitz repair was performed upon 23 patients. There were nine recurrences (7.3%) after these two operations. The Moschcowitz repair was performed 46 times with four recurrences (9%). The Bassini operation or lower approach was utilized 44 times in uncomplicated cases, with a recurrence in only one patient (2.3%). We feel that the McVay repair has given the best overall results. The Bassini repair is recommended in selected cases.

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