The incision for a low femoral hernia repair should be directly over the hernia and parallel but inferior to the inguinal ligament. It should extend for about 6-10 cm along the line of the groin crease in the adult. Subcutaneous tissue is divided along the line of the incision. Haemostasis is assured during entry with bipolar diathermy.
Usually, the hernial sac is encountered inferior to the inguinal ligament but the fundus may extend superiorly to this.
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