c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Large Femoral Hernia: 4

A D V E R T I S E M E N T

   
 

The sac was excised 0.5 cm above the ligature.       

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Large Femoral Hernia: 5

A D V E R T I S E M E N T

   
 

The stump of the sac is shown before it was allowed to retract back into the femoral canal.       

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Large Femoral Hernia: 6

A D V E R T I S E M E N T

   
 

Because of the large size of the defect, the floor of the inguinal canal was opened and the medial half of the iliopubic tract and inguinal ligament were sutured to pectineal (Cooper’s) ligament using 2-0 polypropylene, closing the defect at the upper end of the femoral canal. The alternative of suturing inguinal ligament to pectineus fascia from below (see femoral hernia repair) was not considered sufficient to close this large femoral canal.     

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This page was last modified on 9/3/2002.