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Research Letter
March 2016

Femoral Hernias in Patients Undergoing Total Extraperitoneal Laparoscopic Hernia Repair: Including Routine Evaluation of the Femoral Canal in Approaches to Inguinal Hernia Repair

Author Affiliations
  • 1Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 2VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
JAMA Surg. 2016;151(3):292-293. doi:10.1001/jamasurg.2015.3402

The incidence of femoral hernia is not clearly defined; however, femoral hernias are considered to be relatively rare and less common in men than women. Hernias can be repaired by either an open or laparoscopic approach. The purported benefits of laparoscopic hernia repair include less postoperative pain and earlier return to normal activity with apparent equivalent rates of recurrence compared with open tension-free mesh-based repairs.1 An additional benefit of the laparoscopic approach is the ability to visualize all hernial orifices in the groin area bilaterally. The purpose of this study was to determine the incidence of femoral hernia in patients who preoperatively received a diagnosis of inguinal hernia before undergoing total extraperitoneal laparoscopic hernia repair, with particular attention to cases of reoperation.