Surgery is performed at
FEMORAL Hernias, like Inguinal hernias, develop in the groin area, but are far less common. They occur about 10 times more commonly in females than they do in males, but do occur in both sexes. These hernias develop at or very near the leg crease itself, in an area somewhat lower than the more common Inguinal Hernia. In fact, it is often difficult to differentiate clinically between these Femoral Hernias and the more common Inguinal Hernias on examination alone by those not experienced in hernia evaluation.
The defect itself occurs in an anatomic triangular-shaped "gap", located between the following 3 structures:
- 1. the inguinal ligament (a tendinous cord that creates the leg crease),
- 2. the lower side of the pubic bone, and
- 3. The femoral vein (the major vein of the leg).
This gap is somewhat larger in females due to the shape and angle of the pelvis, whereas the inguinal canal is smaller, therefore making femoral hernias more common in females. NOTE: the congenital gaps and weak areas of the inguinal canal are somewhat larger in males, making Inguinal Hernias more common in men.
The findings of an acutely painful lump or bulge on the leg crease, adjacent to the pubic region (especially in females) suggests a diagnosis of a Femoral Hernia.
Femoral hernia defects are very close anatomically to that found in Inguinal Hernias. Examination by a Hernia Specialist is therefore often necessary to confirm this particular diagnosis. Often, a Femoral Hernia can occur simultaneously with an Inguinal Hernia and be overlooked at surgery using 'conventional' repair techniques.
FEMORAL hernias are much more common in females, but can occur in males as well. These hernias are more prone to develop INCARCERATION and/or STRANGULATION as an early complication than are Inguinal Hernias. Therefore, early repair once these hernias are diagnosed is very strongly advised before such complications occur. Like Inguinal Hernias, they are excellently suited to repair using a mini-incision, "TENSION FREE" technique, utilizing MESH in virtually all adult cases to assure safe and fully effective, tension-free repair. Mesh, placed SAFELY and EFFECTIVELY under local anesthesia, avoids the need for cutting muscle or tendon, and eliminates high-tension suturing.
Rapid recovery remains the rule and return to Normal Activity in 1-2 DAYS is fully expected, again with minimal discomfort and few, if any, restrictions.
The surgeons and staff at The North Penn Hernia Institute are fully trained in the contemporary, state of the art management and surgical repair of all abdominal hernias, including
New and Recurrent FEMORAL HERNIAS.
Surgical repair is generally performed under mild sedation and local anesthesia, with "Minimal Surgical Invasion". Our advanced "Tension Free" Technique is excellently suited for repair of Femoral Hernias, and is routinely performed as an outpatient. This approach allows for patient discharge on the "Same Day" within 1-2 hours after surgery.
Normal Work and Activity in Days.