Femoral hernia Repair

Femoral Hernia Repair

The abdominal cavity wall is made up of muscles and tendons that are usually strong enough to keep the intestines and organs in their proper place. Sometimes, however, intra-abdominal tissues can be pushed through a weak spot or tear in the belly’s muscle wall due to overstraining and other factors. It’s called a femoral hernia if a portion of tissue pushes through the wall of the femoral canal. Compared to another hernia, femoral hernias more commonly have a small intestine stuck in a weak area. The femoral canal carries the femoral artery, femoral vein, and associated nerves. It’s located just below (1 inch) the inguinal ligament in the groin.

Common causes of femoral hernia include obesity, overstraining while coughing, heavy exercise, weight lifting, chronic constipation, giving birth, having ascites, cystic fibrosis, and straining with urination or defecation.


The most apparent sign of a femoral hernia is the appearance of a lump or bulge in the thigh, just below the groin. It can be tender or painful, depending upon the severity. Some of the severe symptoms are 

  • Sudden groin pain
  • Abnormal pain in the lower abdomen area
  • Nausea
  • Vomiting    
  • Severe stomach pain 
  • Fever

Treatment Options


Treatment depends on the severity of the pain. Mostly small size hernias don’t cause any discomfort and don’t require specific treatment. The procedures involved to treat femoral hernia are 

Non-surgical treatment

  • Fibre-rich food – The patient should increase the consumption of fibre-rich diet like drinks, juices, fruits to avoid constipation 
  • Maintain weight – Obesity is one of the causes of femoral hernia, so losing weight can reduce pressure on the lower abdomen area. 
  • Proper rest – In case of small hernia, adequate rest and not lifting weight, little exercise, and yoga can help to push back hernia on its original place. 

Surgical treatment

Moderate and large femoral hernia requires surgical treatment, especially if the symptoms are severe, and the person is suffering from unbearable pain. Two types of surgical procedures are performed. 

  • Open surgery – The patient is given general anaesthesia. It involves a single incision of about 3-4 cm long and opening of the femoral channel to push the lump of fatty tissues or loop back into the abdomen. The weakened area of the canal must be sewed or closed with a mesh plug to prevent recurrence and to repair weak spots that let hernia through. 
  • Laparoscopic surgery – During laparoscopic or keyhole surgery, several small incisions are made in the lower abdomen, instead of a single large incision. A thin tube containing a camera (endoscope) is inserted through one of the incisions. Surgical instruments are also inserted through other incisions to move protruding tissue back into the abdomen. The incisions in your skin are then sealed with stitches, and damaged muscle is repaired with mush.

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