THE DIAGNOSIS AND SURGICAL MANAGEMENT OF STRANGULATED FEMORAL HERNIA

3 February 1940

journal article
research article
Published by American Medical Association (AMA) in JAMA

Vol. 114 (5) , 394-396
https://doi.org/10.1001/jama.1940.02810050014003

Abstract

A high mortality attends strangulated femoral hernia. In 1900 Gibson¹found it to be 47 per cent. Thirty years later Counseller and Cox,²of the Mayo Clinic, stated that there had been only a slight reduction of the death rate despite the advances which had been made in the field of intestinal obstruction. In 1932 McIver³noted a mortality of 18 per cent when operation was performed early and of 50 per cent when operation was delayed. Homans,⁴Christopher⁵and Watson⁶all emphasize that the mortality is higher in strangulated femoral than in strangulated inguinal hernia. The present communication considers the causes of the high mortality and outlines measures of value in the management of this condition. Three principal factors contribute to the high mortality of strangulated femoral hernia: delayed treatment, the old age of many of the patients, and improper surgical management. The

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