Femoral Hernia - Surgery & Treatment Cost in Nagpur

Normally, your muscles are powerful enough to maintain the appropriate position of the organs and intestines. However, as a result of overstrain, sometimes your intra-abdominal tissues may be forced through a weak spot in your muscular wall, leading to the development of a hernia. A femoral hernia occurs when fatty tissue pushes against the femoral canal's wall. A protrusion near the groin or thigh indicates the presence of a femoral hernia. The condition where a few tissues protrude through the femoral canal, which lies slightly below the inguinal ligament in the groin, is called a femoral hernia.

A femoral hernia develops when fatty tissue or a portion of the intestine pushes through into the groin on the top of your inner thigh. The causes of femoral hernia include:

• Lifting weights bending: Lifting heavy weights can lead to muscle weakness and can be a prominent reason behind the cause of femoral hernia.
• Being obese: Being overweight or not maintaining a healthy weight can also cause hernia as it increases the pressure on the abdominal muscular walls.
• Having a chronic, hacking cough: Conditions such as chronic obstructive pulmonary disease (COPD) or cystic fibrosis can cause chronic coughing, which can increase the risk of developing a femoral hernia.
• Parturition: Giving birth or Parturition can increase intra-abdominal muscle pressure. Femoral hernia is very common in cases of women of childbearing age. 

A femoral hernia can be symptomatic or asymptomatic. Mild to moderate cases of femoral hernia are mostly asymptomatic. While larger femoral hernias cause a visible bulge in your upper thigh, that can be unpleasant, especially when straining. Some people with femoral hernias do not detect any bulge, lump, or pain.

To check for a femoral hernia, your doctor will perform a physical examination by lightly palpating the area. Most likely, the bulge will be felt if the hernia is big.

To confirm the diagnosis, your doctor may prescribe a number of other diagnostic tests, such as:

• CT Scan: Here multiple X-ray images of the abdomen are taken from different angles, and the computer then creates cross-sectional images of the body.
• MRI Scan: An abdominal MRI (magnetic resonance imaging) scan is a medical imaging test that uses a strong magnetic field, radio waves, and a computer to produce detailed images of the internal structures of the abdomen.
• Ultrasound: It uses high-frequency sound waves to view structures in the abdomen.

Because of its potential complications, a femoral hernia needs to be treated without further delay in most cases. Surgery can be done to push back the bulge and fix the weakened abdominal wall. Treatment methods are as follows:

• Watchful Waiting: Individuals with a mild hernia who don't exhibit any symptoms may be treated with a wait-and-see approach by medical specialists. Doctors use this technique to keep tabs on their patient's health and the growth of the Femoral hernia.
• Surgery: Two types of treatment surgery can be followed in severe cases.
  • Open femoral hernia surgery: 
    • The incision is made in the skin above the groin The hernia is identified and treated, and a tiny mesh plug is secured in place using sutures, or straightforward direct sutures, which are then used to close the hernia defect. 
    • An absorbable suture is then used to close the incision.
    • A sterile bandage is placed over the incision, which will be removed after 48 hours of the surgery.
  • Laparoscopic femoral hernia surgery: 
    • Three little incisions are made above the skin of the groin area.
    • Special surgical balloons are used to increase the extraperitoneal space, which is the area behind the muscle layer. The hernia is seen and found using a telescopic camera. Then, this is reduced to the normal  (returned to its normal place).
    • The hernia defect is then covered with a mesh. After that, absorbable sutures are used to close the skin wounds.

A femoral hernia may manifest additional symptoms or develop difficulties if it becomes "incarcerated," "obstructed," or "strangulated." A strangulated hernia is a potentially fatal condition that needs prompt medical attention.

Femoral hernia when incarcerated

A hernia that becomes stuck in the femoral canal and is unable to go back into the abdomen is referred to as an irreducible or trapped femoral hernia. 

Hernia femoral obstructed

This can result in a painful intestinal obstruction when the hernia and a portion of the intestine get intertwined.

Femoral hernia strangulated

This happens when a hernia blocks the flow of blood to the bowel. It is a medical emergency that, if left untreated, might be fatal.
 

There are certain things that an individual can do to prevent a femoral hernia.

• Maintaining proper lifting technique: Perform your heavy weight lifting exercise under the guidance of a professional.
• Maintain a healthy body weight: Maintain a healthy weight by following a balanced diet.
• Quit smoking: Smoking increases the risk of developing a hernia. Smokers and those who have COPD or other tobacco-related illnesses are troubled by persistent, violent coughing, which can hasten the formation of hernias.
• Exercise regularly: This helps improve your muscle strength. Increasing core strength can help prevent a femoral hernia in numerous ways. Simply said, your "core" refers to the major pelvic and abdominal muscles, such as the oblique and pelvic floor muscles, as well as the smaller gluteus maximus and trapezius muscles.

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