This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Hernia with highest rate of strangulation is? 
Select and explain. 
A. Direct inguinal hernia, B. Indirect inguinal hernia, C. Femoral hernia, D. Incisional hernia
C: Femoral hernia
Answer: C: Femoral hernia 
Explanation: Femoral hernia REF: Sabiston 18th ed chapter 44 The likelihood of strangulation and need for hospitalization also increase with aging. Strangulation, the most common serious complication of a hernia, occurs in only 1% to 3% of groin hernias and is more common at the extremes of life. Most strangulated hernias are indirect inguinal hernias; however, femoral hernias have the highest rate of strangulation (15%-20%) of all hernias, and for this reason, it is recommended that all femoral hernias be repaired at the time of discovery.