Mr Omar Tillo
Consultant Plastic Surgeon
A femoral hernia is an uncommon type of hernia. It occurs when fatty tissue or part of the bowel pokes through into the groin at the top of the inner thigh. This pokes into an area known as the femoral canal.
Femoral hernias will occur far more often in women than in men, in particular, older women, as a result of the different pelvic floor shape.
The hernia can be caused by a sudden strain on the abdomen. It can also be caused by a consistent, heavy cough, or obesity.
Surgery for a femoral hernia is often recommended straight away, as there is a high chance of complications occurring. Complications include:
You will be a suitable candidate for surgery if you have a femoral hernia and are experiencing physical pain.
It is important to have surgery for a femoral hernia in order to avoid any complications occurring.
Femoral surgery is generally very straightforward and takes around 25 minutes to complete.
The surgeon will make an incision over the hernia, allowing access to the hernia sac. This is then excised. The gap left by the hernia between the ligament and bone is closed with stitches, to prevent a recurrence of the hernia.
Your surgeon may instead opt to perform keyhole surgery. This is a more difficult surgical technique, which involves making smaller incisions rather than a single, large incision. A thin tube with a camera and light is then inserted, allowing the surgeon to see the internal organs. The surgeon then uses special instruments which allows them to put the hernia back into place. The mesh patch is then used over the gap where the hernia was.
This is performed as a day surgery and you will be able to return home once the effects of the anaesthetic have worn off.
Following femoral hernia repair, you can expect to experience some mild pain and discomfort. If necessary, you may wish to take some pain medication to help alleviate any symptoms.
Make sure to keep the wound dry and clean to avoid any infection occurring.
You will have to avoid driving and strenuous physical exercise, including heavy lifting, for at least two weeks. You can resume your normal exercises after a total of six weeks.
A femoral hernia is an uncommon type of hernia which will appear at the top of the inner thigh and groin area. It is caused by either fatty tissue or part of the bowel which pokes through to the femoral canal.
With some hernias, surgery isn’t necessary if you are not experiencing any physical pain.
However, with a femoral hernia, there is a higher likelihood of further complications occurring, such as obstruction or strangulation of the bowel, so surgery is always considered necessary.
There are two different methods for femoral hernia repair – open surgery and keyhole surgery. Prior to undergoing any procedure, your surgeon will help you decide which is the best method for surgery.
The surgeon will make an incision over the hernia. The hernia will then be excised, and the gap left from the hernia is stitched shut.
Keyhole surgery involves several smaller incisions which allow the surgeon to insert a laparoscope. The surgeon can then use special tools to repair the hernia. Mesh is then used to cover the hole left from the hernia.
At Centre for Surgery, we perform femoral hernia repair under ClearSleep™ anaesthetic. This means you will not be awake during the procedure.
Femoral hernia repair takes around 25 minutes to complete.
We recommend that you avoid driving for at least two weeks.
You will be able to start light exercises after two weeks. You will be able to start all physical activity after six weeks.