A femoral hernia is a relatively uncommon type of hernia. A femoral hernia is a protrusion of an intestine loop through a weak abdominal wall in the lower abdomen near the thigh or groin.
Types Of Femoral hernia
Incarcerated femoral hernia- An incarcerated femoral hernia is one that has been stuck in the femoral canal and is unable to be moved back into the abdomen. This sort of hernia is also referred to as "irreducible." An obstructed femoral hernia arises when a section of the intestine becomes entangled with the hernia, obstructing the intestine.
Obstructed femoral hernia- An obstructed femoral hernia develops when a section of the intestine becomes entangled with the hernia, obstructing the intestine. The obstruction may worsen, causing the hernia to become more uncomfortable.
Strangulated femoral hernia- A strangulated femoral hernia develops when the hernia blocks up the blood supply to a section of the colon, causing the loop of the bowel to die. Strangulation can occur in any hernia, but it is more common in femoral and inguinal hernias because their "necks" are narrower.
Femoral Hernia Causes
Internal tissues push through a weak area in the muscular wall at the pelvis or inner thigh, causing a femoral hernia. It's possible that the specific cause is unknown. A person's muscle wall in the area may have been structurally weak from birth.
Femoral hernias can also be caused by strain or excessive pressure as a result of:
Hefty objects being lifted or pushed
Coughing for a long time and with a lot of force
Being unable to pass urine or feces
People suffering from ascites. Ascites is a condition in which there is a build-up of fluid in the abdomen.
Femoral Hernia Symptoms
In a few cases one may not even realize that they are suffering from a femoral hernia. Small-sized hernias may not even cause any symptoms. The bulge of a small femoral hernia is not even noticeable at times.
Large hernia causes a lot of discomfort and is more noticeable near the upper thigh area. While standing up the pain worsens and when heavy weight objects are lifted. As femoral hernia is located closely to the hip bone resulting in hip pain too.
Some of the severe symptoms can be:
Severe stomach pain
Sudden groin pain
Change in skin color around the bulge
How is a femoral hernia treated:
Small, asymptomatic femoral hernias may not necessitate medical attention. Doctors may keep an eye on your condition to see if your symptoms worsen. Surgical treatment is required for moderate to large femoral hernias, especially if they are causing any discomfort.
There are two types of surgery for treating femoral hernia- Open surgery and Laparoscopic surgery
Open Surgery: This usually entails general anaesthesia, which puts the patient to sleep during the surgical procedure. In some basic circumstances, however, the team may administer a topical anaesthetic. The area becomes numb, but the person remains conscious.
To reach the hernia, the surgeon makes a small incision in the groin. The bulging tissue is then moved back into the abdomen before the femoral canal wall is repaired with strong stitches or a piece of mesh.
Laparoscopic Surgery: This procedure is less painful. The patient is given general anaesthesia. The surgeon first creates multiple small incisions in the lower belly and inserts a laparoscope, a thin, tube-like equipment with a camera, into the incisions. The bulging tissue is then moved back into the abdomen, and the weakening muscle is repaired with mesh.
Laparoscopic surgery is not recommended to everyone, particularly those with big hernias. People who have this procedure have a faster recovery time and fewer scarring than those who have open surgery.
To treat the femoral hernia, the best surgical treatment is offered by Kapadia Hospital in Mumbai.