Treatment FAQ

what is the treatment for a femoral hernia

by Gladys White MD Published 2 years ago Updated 2 years ago
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Femoral hernias can be repaired using surgery to push the bulge back into place and strengthen the weakness in the wall of the tummy. Unlike some other types of hernia, treatment of femoral hernias is almost always recommended straight away because there's a higher risk of complications developing in these cases.

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What is a femoral hernia and how is it treated?

Moderate to large femoral hernias require surgical repair, especially if they’re causing any level of discomfort. Surgical hernia repair is performed under general anesthesia. This means you will be asleep for the procedure and unable to feel pain. Femoral hernia repair can be done as either an open or laparoscopic surgery.

Does a femoral hernia always require surgery?

When is surgery needed? Femoral hernias can be repaired using surgery to push the bulge back into place and strengthen the weakness in the wall of the tummy. Unlike some other types of hernia, treatment of femoral hernias is almost always recommended straight away because there's a higher risk of complications developing in these cases.

What alternatives are there to femoral hernia repair?

There are no medical or surgical alternatives to a femoral hernia repair other than watchful waiting. There is some risk that the hernia will enlarge, however, which increases the risk of incarceration or strangulation. Moreover, the complications and risks of surgery increase with incarcerated or strangulated hernias.

What is aftercare like following a femoral hernia repair?

After the operation, your groin will feel sore and uncomfortable. You'll be given painkillers to help relieve this discomfort. Looking after yourself. An adult must stay with you for the first 24 hours after your operation in case you experience any problems.

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How serious is a femoral hernia?

Femoral hernias are generally not life-threatening medical conditions. Strangulation of the hernia can become life-threatening, however, and must be treated through emergency surgery.

Can a femoral hernia heal on its own?

They do not go away on their own. Compared to other types of hernias, femoral hernias more commonly have small intestine get stuck in the weak area. Your surgeon may recommend femoral hernia repair surgery. The surgery is done to avoid a possible medical emergency.

What happens if a femoral hernia goes untreated?

Without immediate surgery, a strangulated femoral hernia can cause the intestinal tissue to die and decay. This can result in a life threatening infection, and immediate treatment is necessary.

How do they fix a femoral hernia?

Open surgery The femoral canal (a channel containing the main blood vessels and nerves leading to the thigh) is opened and the surgeon places the lump of fatty tissue or loop of bowel back into your tummy. The femoral canal is then closed, often with a mesh plug, to repair the weak spot that let the hernia through.

What type of doctor treats a femoral hernia?

What kind of doctor do you see for a hernia? When you have a hernia, treatment will start with your primary care provider. If you need surgery to repair the hernia, you'll be referred to a general surgeon. In fact, ventral hernia repairs are one of the most common operations U.S. general surgeons perform.

How long is recovery from femoral hernia surgery?

Most people make a full recovery from femoral hernia repair within 6 weeks, although many people can return to driving, work and light activities within 2 weeks.

How long can you wait to have hernia surgery?

Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. If the hernia is small and you don't have any symptoms, or if the symptoms don't bother you much, you and your doctor may simply continue to watch for symptoms to occur.

Do femoral hernias need surgery?

Doctors usually recommend surgery. This is because women who have an inguinal hernia are more likely to have a "hidden" femoral hernia too. The risk of complications is greater with femoral hernias. Inguinal hernias often don't cause any severe symptoms, and can be treated quite effectively with surgery.

How do you know when a hernia is an emergency?

Symptoms of a hernia in need of emergency treatment include: Severe pain, swelling or redness at the hernia site. Hernia bulge growing quickly. Nausea and/or vomiting.

How urgent is femoral hernia surgery?

Because of the high incidence of complications, femoral hernias often need emergency surgery.

Is walking good for femoral hernia?

If you're experiencing pain with your hernia, you may notice that the more intense the workout is, the worse your symptom gets. This is why if you're experiencing this, it's best to stick with less-intense workouts such as walking and jogging (over running).

What is a severe femoral hernia?

Severe symptoms of a femoral hernia. Severe symptoms can signify that a femoral hernia is obstructing your intestines. This is a very serious condition called strangulation. Strangulation causes intestinal or bowel tissue to die, which can put your life in danger. This is considered a medical emergency.

How long does it take to recover from a femoral hernia?

Most people can return to light activities within two weeks. Most people fully recover within six weeks. The recurrence of a femoral hernia is very low. The National Health Service (NHS) in the United Kingdom estimates that only 1 percent of people who’ve had a femoral hernia will have a recurring hernia.

Why do my femorals get weak?

The exact cause of femoral and other hernias are unknown most of the time. You may be born with a weakened area of the femoral canal, or the area may become weak over time. Straining can contribute to the weakening of the muscle walls. Factors that can lead to overstraining include: childbirth. chronic constipation.

How do you know if you have a femoral hernia?

Severe symptoms of a femoral hernia include: severe stomach pain. sudden groin pain. nausea. vomiting. Call 911 and seek immediate medical attention if you suffer from these symptoms. If the hernia obstructs the intestines, blood flow to the intestines can be cut off.

What is it called when a muscle pushes through the wall of the femoral canal?

If a portion of tissue pushes through the wall of the femoral canal, it’s called a femoral hernia.

How long does a hernia last after strangulation?

The British Hernia Centre estimates that the bowel will only survive for roughly 8 to 12 hours following strangulation, which makes it imperative to seek immediate medical attention if you have symptoms.

Where is the femoral canal?

The femoral canal houses the femoral artery, smaller veins, and nerves. It’s located just below the inguinal ligament in the groin. A femoral hernia can also be called a femorocele. Women are more likely than men to suffer from a femoral hernia. Overall, femoral hernias are not common.

How to repair a femoral hernia?

A procedure to repair a femoral hernia can be performed using an “open” method, in which a surgeon makes an incision in your groin area, pushes the hernia back inside the abdomen, and places a piece of mesh to strengthen the abdominal wall. When possible, Mount Sinai surgeons are also able to perform this procedure using a laparoscopic method, which involves making small cuts through which a small camera and surgical instruments are inserted to repair the hernia.

Where is a hernia located?

Located in the groin, this type of hernia protrudes through a congenital weakness of the canal through which the femoral vein, artery, and nerve pass that can enlarge over time. The weakness may be present starting at birth, or may develop over several years. Caused by poor wound healing following surgery, heavy lifting, or straining, femoral hernias grow larger over time.

Does Mount Sinai have a femoral hernia?

If you’re living with pain caused by a femoral hernia, the surgeons at Mount Sinai are highly skilled in the procedures that can provide relief, including minimally invasive (laparoscopic) techniques.

How to repair a hernia in the femoral canal?

An open femoral hernia repair may require an operation that begins with a large incision at the femoral canal. The femoral canal is the space in which critical blood vessels and nerves are held. Next, the surgeon will move the protruding tissue out of the canal back to its normal location and apply mesh and reinforcing material to the weakened areas of the canal. The surgery is completed and the incision is closed with either staples or sutures.

What causes a femoral hernia?

Femoral hernias are uncommon and occur as a result of straining. They may develop slowly over time or quickly during an injury. Some of the direct causes of femoral hernias include: 1 Deep coughing 2 Heavy lifting 3 Childbirth 4 Straining during constipation 5 Obesity

How to repair a hernia?

For smaller hernias that are bothersome, a laparoscopic procedure with the use of small surgical probes and arms may be considered. This surgery does not require a large incision, but may require multiple small incisions to allow the surgical instruments in to complete the repair. Because laparoscopic incisions are small, surgical glue may be used in lieu of staples to reduce the appearance of scars. Aside from the types of surgical tools and size of incisions, the repair to the femoral canal is the same as an open femoral repair.

Do small hernias have symptoms?

Small hernias are typically benign, meaning that they are not bothersome and may not have symptoms. Small hernias are observed over time and do not require invasive treatments like surgery. However, a hernia may increase in size over time and can begin to interfere with normal activities.

What causes a femoral hernia?

A femoral hernia is the result of fatty tissue or a section of the bowel protruding through into the groin on the top of your inner thigh. The section where the protrusion can occur is called the femoral canal and is considered a weak spot in the abdominal wall muscles. The actual causes of a femoral hernia are: 1 heavy-lifting 2 straining on the toilet 3 obesity 4 a persistent, heavy cough 5 childbirth

How many groin hernias are there?

It is estimated that only 1 in 20 groin hernias are femoral hernias, and are mostly inguinal hernias. They are more common in women because women have a wider pelvis.

Can a femoral hernia cause pain?

Some people with a femoral hernia do not notice any bulge, lump or pain, however, larger femoral hernias produce a visible bulge in your upper thigh which can be painful, especially when straining.

How to tell if you have a femoral hernia?

Femoral Hernia symptoms. You will have a lump or swelling in the groin area. The lump will be slightly below that of an Inguinal hernia, although it is nearly impossible to tell sometimes. Pain in the groin is usually felt when exercising. Coughing and sneezing may not trigger pain as often as an inguinal.

Which is more common, a femoral hernia or an inguinal hernia

Femoral Hernia. A Femoral hernia is the next most common type after Inguinal. They occur lower down into the top of the leg, are more common in women and usually smaller than Inguinal hernias.

What does a femoral hernia look like?

A Femoral hernia will look like swelling in your upper thigh or front of your hip. They occur just below Inguinal ones, at a weak point called the femoral canal. They are more common in women, especially older and frail women.

What happens if you leave a hernia?

The tissues are at risk of complications such as strangulation or pinching. If left, this can cause intestinal blockages which may cut off the blood supply. This will eventually result in tissue death and potentially fatal consequences.

What is a femoral hernia?

A femoral hernia is an uncommon type of hernia. Femoral hernias sometimes appear as a painful lump in the inner upper part of the thigh or groin. The lump can often be pushed back in or disappears when you lie down. Coughing or straining may make the lump appear. For information on other types of hernia, see:

How long does it take to heal a femoral hernia?

Most people make a full recovery from femoral hernia repair within 6 weeks, although many people can return to driving, work and light activities within 2 weeks. Read more about:

What are the complications of a femoral hernia repair?

Other uncommon complications of femoral hernia repair include: developing a lump under the wound. difficulty passing urine.

What is the procedure to remove a hernia from the tummy?

open surgery – where a cut is made to allow the surgeon to push the lump back into your tummy. laparoscopy (keyhole) surgery – a less invasive, but more difficult, technique where several smaller cuts are made, allowing the surgeon to use various special instruments to repair the hernia.

Why do women have femoral hernias?

Unlike inguinal hernias, femoral hernias occur far more frequently in women, particularly older women. This is because of the wider shape of the female pelvis. Femoral hernias are rare in children. Femoral hernias can sometimes appear suddenly because of strain on the tummy, such as:

Where does a femoral hernia occur?

A femoral hernia usually occurs when fatty tissue or a part of your bowel pokes through into your groin at the top of your inner thigh. It pushes through a weak spot in the surrounding muscle wall (abdominal wall) into an area called the femoral canal.

What is a hernia in the body?

A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. Your muscles are usually strong and tight enough to keep your intestines and organs in place, but a hernia can develop if there are any weak spots.

What is the best treatment for a hernia?

If someone is diagnosed with a hernia, following natural remedies can help in getting relief from the symptoms of hernia: 1. Castor seed oil. This particular oil addresses stomach problems. Castor oil helps to inhibit inflammation inside the stomach and promote proper digestion.

How to heal a hernia?

Go for brisk walks for at least 30 mins every day. 10. Vegetable juice. One of the most effective natural remedies is a glass of vegetable juice – carrot, spinach, onions, broccoli, and kale. The nutrients and anti-inflammatory nature of vegetables help to soothe the burning and painful symptoms caused due to hernia.

How to get rid of a hernia in stomach?

Consume concentrated ginger juice or raw ginger to sort relief from the pain and discomfort in your stomach. It boosts your health system at the same time. It restricts the stomach from producing gastric juices which generally occurs during hiatal hernia.

What is a hernia in the abdomen?

A hernia is defined as a bulging organ or fatty tissue through a soft or weak spot in the abdomen. Some facts about hernia which you must know. A hernia doesn’t cause any signs and symptoms initially. With time, the individual is likely to experience nausea, chest pain, unable to swallow food, acid reflux, etc.

How to diagnose a hernia?

Doctors diagnose a hernia simply by feeling or looking at the bulge in the affected area. After a hernia is diagnosed, medical attention is always advised. Fortunately, there are several natural remedies as well as some lifestyle changes that can provide relief from symptoms of hernia without any surgery.

How to reduce the risk of developing a hernia?

Moreover, to lower the risk of developing a hernia, you can consume this juice before every meal. 3. Ice packs. When you suffer from a hernia, there can be inflammation and pain in the abdomen. Ice packs trigger contraction when applied to the affected area and reduce inflammation inside the body.

What are the causes of hernias?

Another major factor that contributes to the formation of hernia is stress. Excessive stress can put more strain on your metabolism as a whole. Some stress-reducing activities include yoga, meditation, massage and use of essential oils and aromatherapy. Evidently, the following yoga asanas can provide relief-

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