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Health See other Health Articles Title: Incidental Femoral Hernias More Common Than Thought Medscape... NEW YORK (Reuters Health) - A sizable proportion of men undergoing laparoscopic inguinal hernia repair also have undiagnosed femoral hernias, according to Pennsylvania-based researchers. As Dr. Brian S. Zuckerbraun told Reuters Health by email, "The findings of this study suggest that femoral hernias are present at a higher rate than what has previously been recognized. We don't know how many of these are or would become symptomatic." In a November 11 online paper in JAMA Surgery, Dr. Zuckerbraun and colleagues at the University of Pittsburgh note that apart from other advantages, a laparoscopic approach allows visualization of all hernial orifices in the groin area bilaterally. To establish what additional information this might provide, the researchers examined data on 250 men who underwent elective total extraperitoneal laparoscopic surgery. All had had an inguinal hernia diagnosed by one of two surgeons. No femoral hernia was diagnosed preoperatively. In all, 33 patients (13%) were found to have femoral hernia. The incidence in those who had previously undergone open surgery for an inguinal hernia, was 19%. In those who had not, it was 9%. The researchers note that a previous study in male patients showed 6.6% rate of femoral hernia in recurrent inguinal hernia operations. Another in both men and women showed an incidental hernia rate of 7.2%. The rate in the current study, say the investigators, is "nearly double" and more than half were in the context of previous repairs. This, they add, "may reflect an initial failure to recognize a concomitant femoral hernia or the later development of such a defect in a patient already prone to hernia formation." Femoral hernias are thought to be relatively rare and less common in men than women, the researchers point out. However, given these findings, Dr. Zuckerbraun concluded, it's worth "considering routine inspection of the femoral canal looking for femoral hernias at the time of operation for inguinal hernia." Related Drugs & Diseases Pediatric Hernias Hernia Reduction Abdominal Hernias Post Comment Private Reply Ignore Thread
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