Abstract:

Inspired by Lichtenstein technique (as described by Gavrilas and Oprea in the Romanian surgical literature), the authors introduced the technique for the femoral hernia repair with the intention of tracking the results in time. We mention that femoral hernias are rarely seen in current surgical practice. The purpose of the paper is to present the postoperative outcomes of 10 patients with femoral hernia repair through a modified Lichtenstein technique. Of the 10 cases of femoral hernia, 6 were primary and 4 relapsed, 8 of the 10 patients with concomitant diseases. There was no death or major complication and no relapse during the study period (01.01.2016-31.12.2018). Considering the postoperative outcomes, we consider the following improvements to the Lichtenstein technique bring real benefits in the surgical cure of the femoral hernias: increasing the length of the polypropylene mesh from 2 cm to 6-7 cm; pre-fixing of 2-3 non-absorbable monofilament suture anchored to Cooper’s ligament; cutting the mesh excess at about 1 cm from the external opening of the femoral groove and securing it to the pectin fascia; pre-wetting the roll in betadine solution prior to insertion into the femoral canal; isolating the external end of the roll from a possible external infection by suturing the subcutaneous tissue with sockets to the absorbable monofilament suture.

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