The alternative repair for a femoral hernia is the McVay repair (see anterior inguinal hernia repair). The McVay repair theoretically closes the femoral canal by the constricting effect of the transition stitch between the falx and the edge of the femoral sheath. It involves more surgery and disruption of the normal inguinal floor. The infra-inguinal approach, first described by Bassini, has the advantage of simplicity and direct repair of the defect.
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