Femoral Hernia : Mnemonic

Mnemonic: FEMORAL

hernia sites
Dennis M. DePace, PhD, CC BY-SA 4.0, via Wikimedia Commons

Females (4 times more common)

  • Women are always right (more common on right side)


McEvedey operation (incision above inguinal ligament – preferred in emergency intervention due to easy access to compromised bowel for any resection if required)

Obstruction/incarceration/strangulation risk is higher (rigid walls of femoral ring)

  • 3 months risk of strangulation = 22%
  • 21 months risk of strangulation = 45%

Richter’s hernia – most common location

Above inguinal ligament – lump can present above inguinal ligament (confusing with inguinal hernia)

  • But neck of hernia is always below and lateral to pubic tubercle

Lotheissen operation (inguinal approach)

Lockwood operation (incision below inguinal ligament)

Laparoscopic approach

Further reading:

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