To compare the clinical characteristics of emergency and elective femoral hernia and the early clinical effects after repair.

The clinical data of patients with femoral hernia who treated surgically in Ganzhou People's Hospital from January 2013 to December 2018 were retrospectively analyzed, including 53 cases in the elective femoral hernia group and 85 cases in the emergency femoral hernia group.

The cases in both groups were mostly female, and the course of disease in the emergency group was longer and age was higher than those in the elective group. In the emergency group, there were more patients with comorbidities, and the comorbidities were mostly COPD and cirrhosis. There were 64 cases of intestinal obstruction in the emergency group and 4 cases in the elective group, and 14 cases and no case of intestinal anastomosis was required in the two groups, respectively. However, there was no significant difference in the repair methods between the two groups. The complications of postoperative seroma and superficial infection were more frequent in the emergency group than that in the elective group, and the difference was statistically significant (P<0.05). There were 7 deaths in the emergency group and no death in the elective group within one month after surgery, the Kaplan-Meier curve analysis log-rank test showed that the difference was statistically significant (P<0.05).

Complications of emergency femoral hernia were more frequent than those of elective femoral hernia, the course of disease was longer, postoperative complications were more frequent, and the mortality was higher within 1 month after operation. Therefore, once the diagnosis of femoral hernia is confirmed, the patient's comorbidities should be corrected in time, and surgery should be performed as soon as possible, which might improve the prognosis of patients with femoral hernia.