Femoral Hernia Repair

What is Femoral Hernia?

A femoral hernia is a hernia that occurs in the groin or inguinal region like an inguinal hernia.  The femoral hernia occurs in an area adjacent to inguinal hernias.  It can appear as a bulge in your groin at the top of your inner thigh.

Femoral hernias don’t occur frequently, making up only about 3% of all hernias.

This type of hernia can occur in both males and females but are 10 times more likely to occur in females.

How Serious is a Femoral Hernia?

These hernias aren’t necessarily life-threatening unless it becomes strangulated.

Common Symptoms of Femoral Hernia

Although femoral hernias typically do not cause symptoms, you may notice:
  • A bulge in the upper thigh next to the groin.
  • Groin discomfort that worsens when standing, lifting or straining.
In more severe cases, symptoms may include:
  • Abdominal pain
  • Nausea
  • Vomiting
If the hernia becomes strangulated, you may experience:
  • Redness in the area of the bulge
  • Extreme tenderness
  • Sudden worsening of pain
  • Fever
  • Rapid heart rate
image of femoral hernia

Does a Femoral Hernia Need Surgery?

Because of a higher risk of complications with untreated femoral hernias, surgery is usually recommended.
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How do you Fix a Femoral Hernia?

Femoral hernia repair pushes the contents of the hernia back into place then strengthens the area of weakness.

Femoral hernia repair is an outpatient procedure similar to inguinal hernia repair and takes under one hour to perform. It can be performed with open, laparoscopic, or robotic techniques. Femoral hernias occur through an opening adjacent to inguinal hernias and specifically inferior to the inguinal ligament. The typical recommendation for repair would be laparoscopic or robotic with the use of mesh. Mesh is often recommended for repair of femoral hernias because of a higher risk of recurrence with open non mesh techniques.

Dr. Yunis offers a variety of hernia repair techniques based on the type of hernia and to suit his patients' needs. Techniques available for femoral hernia repair include:

Open Hernia Repair

This type of hernia surgery involves making a small cosmetically oriented incision near the hernia and sewing the hernia defect closed.

Laparoscopic and Robotic  Repair

This type of hernia surgery involves the use of mesh  placed behind the hernia through small incisions below the belly button.
Laparoscopic and robotic repair involves three less than half inch incisions. A camera is inserted through one of the incisions and other instruments (scissors, clamps, and needle holders needed to sew) are passed through the other two incisions. In laparoscopic surgery an assistant is holding the camera showing the surgeon the area of concern while the surgeon has both hands on surgical instruments used to expose and repair the hernia. In robotic surgery, the camera and surgical instruments are attached to a sophisticated robotic arm system. The surgeon is controlling all of them while in a console with hand controls and foot pedals which translate to delicate movements of the instruments inside of the patient. After delicate and meticulous exposure of the appropriate anatomy necessary for repair, mesh and sutures are inserted inside. The mesh is positioned in a critical position behind the hernia defect and fixed so that it doesn't move.

How Long Does it Take to Recover from Femoral Hernia Repair Surgery?

Most people will experience some degree of pain or discomfort after the surgery that will delay returning to office-type work for a day or two.

Depending on the size of the hernia many can return to physical activities within weeks of the operation.

When to Contact a Medical Professional?

Call us or visit the emergency room if you are experiencing severe symptoms.

At Center for Hernia Repair , we specialize in the treatment of hernias and prioritizing patient comfort and satisfaction.

Dr. Yunis relies on his 20 years of experience and expertise in a variety of repair techniques to offer his patients a customized treatment plan to suit their needs.

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Is femoral hernia surgery considered major surgery?
No- most femoral hernias are not considered major surgery and patients go home the same day.
How long does a femoral hernia operation take?
It typically takes 45 minutes to an hour.
Is it worth getting femoral hernia surgery?
Most people choose to have their umbilical hernia repaired due to discomfort or pain, enlargement, or to eliminate the risk of emergency incarceration and strangulation.
Will I have to stay at the hospital after surgery?
No. femoral hernia repair is uniformly an outpatient operation.
Where will you perform the procedure?
It can be performed in a hospital or a surgery center.
What do I need to do to prepare for femoral hernia repair?
If possible, optimize weight to achieve close to ideal body weight.
Will I need to lose weight?
If one’s weight is significantly more than ideal, it is often beneficial to lose weight prior to umbilical hernia repair.
Can you walk after femoral hernia surgery?
Yes. All patients are walking immediately following the operation.
Can a femoral hernia be repaired without mesh?
Yes. However, the risk of recurrence of the hernia with non mesh techniques is thought to be significantly higher than laparoscopic and robotic techniques using mesh.

Center for Hernia Repair

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Suite 201
Sarasota, Florida 34239
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