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Objective:

To describe the characteristics of femoral hernias and outcome of femoral repairs, with special emphasis on emergency operations.

Background:

Femoral hernias account for 2% to 4% of all groin hernias. However, the lack of large-scale studies has made it impossible to draw conclusions regarding the best management of these hernias.

Methods:

The study is based on patients 15 years or older who underwent groin hernia repair 1992 to 2006 at units participating in the Swedish Hernia Register.

Results:

Three thousand nine hundred eighty femoral hernia repairs were registered, 1490 on men and 2490 on women: 1430 (35.9%) patients underwent emergency surgery compared with 4.9% of the 138,309 patients with inguinal hernias. Bowel resection was performed in 22.7%(325) of emergent femoral repairs and 5.4%(363) of emergent inguinal repairs. Women had a substantial over risk for undergoing …