Tension free femoral hernia repair with plug

Surgical treatment of femoral hernia has a long history. In the 19th century Bassini and Marcy are simply closing the femoral ring, while Cushing published approach for solving the femoral hernia. However, a high percentage of relapse with conventional techniques, require a different approach in dealing with femoral hernia. It is assumed that the femoral hernia occurs in 7% of all abdominal wall hernias. It occurs most often in middleaged and older women. Rare in children[1]. Femoral hernia is represented 4%-7% of the inguinal hernia[2]. Has a feature that is often complicated by the incarceration, and a tendency to relapses (6.5%)[3]. Femoral hernias are more common in women[4-6]. Also, frequently appearing on the right side, due to the anatomical position of the sigmoid colon, which allows the femoral canal tamponade[5,7]. Femoral canal in women tends to increase and to be oval in shape, creating the conditions for the occurrence of hernia. Pregnancy increases the risk of femoral hernia in women. Femoral hernias have a 40% higher risk compared to the occurrence of inguinal strangulation, because of the rigid walls of the femoral canal[5,7]. Increased intra-abdominal pressure during pregnancy, obstructive lung disease or constipation can be a cause of the emergence of femoral hernia.