- A femoral hernia is an uncommon type of hernia which is mostly seen in women.
- They sometimes appear as a painful lump in the inner upper part of the thigh or groin just below the groin crease. The lump can often be pushed back in or disappears when you lie down.
- It usually occurs due to weakened groin muscles in women during pregnancy and childbirth. They become prominently visible while coughing or straining.
- The primary causes of femoral hernia include childbirth, chronic constipation, heavy lifting, obesity, enlarged prostate and chronic coughing.
Signs And Symptoms
Small and moderate-sized femoral hernias rarely cause any symptoms and aren’t even visible in most cases. However, as they grow larger, the following symptoms can be experienced:
- A visible bulge in the groin area near the upper thigh
- Gradually increasing hip pain.
- Discomfort and pain in the bulge while standing or lifting objects.
- Nausea, vomiting and stomach pain
Femoral Hernia Repair
Laparoscopic Femoral Hernia Repair
- This surgery is usually performed under general anaesthesia unless a patient has some exceptional condition.
- Three to four tiny incisions are made around the hernial growth to insert the laparoscopic camera and necessary operating tools.
- The hernia sac is pushed back into the cavity, and the weakened opening in the wall is strengthened with a synthetic mesh.
Open Femoral Hernia Surgery
- Open surgery involves a large incision (up to three inches) to be made over the hernial site and hence, is performed under general anaesthesia.
- The surgeon makes a necessary length of the incision over the abdominal wall.
- The contents of the hernial sac are appropriately pushed back inside its membrane wall, and the muscles around the weak spot are sewed closed with sutures.
- A synthetic mesh is then placed over the sewed portion to fortify it, and the exterior incision is closed.