Laparoscopic Femoral Hernia Repair

Overview: Femoral Hernia

A femoral hernia results from the intra-abdominal tissues being pushed through a weak spot, when strained, into the femoral canal. The femoral canal is located below the inguinal ligament in the groin area.

The femoral canal houses the femoral artery, small veins, and nerves. Femoral hernias are uncommon. They are seen predominantly in females. Hernias formed in the groin area are usually inguinal hernias.

Femoral hernias account for 3 percent of all hernias. Femoral hernias are generally asymptomatic. However, occasionally is known to lead to complications if the blood flow to the intestine gets obstructed.

Surgical Procedure: Laparoscopic Femoral Hernia Repair

Post-anesthesia, 3-4 incisions are made in your skin around your groin area and the hernial sac is pushed into place. The treatment also involves repairing the defect in the intestinal wall. 

Sometimes a synthetic mesh is used to cover the weak part and then the skin is stitched back. It is a short procedure and is usually done within an hour.

Traditional Surgery

Traditional surgery is less commonly carried out and involves a large incision in the abdominal area.

The hernia sac is then pushed back in the abdomen and the defect around the abdominal wall is repaired by using a synthetic or plastic mesh that keeps the weak part in place.

Recovery: Laparoscopic Femoral Hernia Repair

Post-surgery you might go home the same day or may be required to stay back under observation in the hospital overnight. There will be swelling around the wound and mild discomfort for a few weeks.

During the recovery phase, you should avoid lifting weights and strenuous activities for at least five to six weeks. You can resume your work in two weeks post the surgery.

Complications of leaving Femoral Hernia Untreated

• The tissues around the hernia may become obstructed and eventually die if the hernia is not treated on time through surgery.​
• Femoral Hernia could become quite dangerous for the patient if the hernia grows uncomfortably around the intestine and strangulates the blood supply leading to gangrene in the region.
• A femoral hernia could lead to a condition called peritonitis that is an inflammation and infection of the abdomen lining.

It is therefore recommended to be operated well in time. Hence it is always advisable to have an early consultation with the doctor who would advise on the right treatment.

Risks and Complication: Laparoscopic Femoral Hernia Repair

• Difficulty in urination.​
• Bowel injury.
• Temporary weakness in the limb.
• Injury to nerves surrounding the hernia.
• Lump formation under the surgical wound.
• Recurrence of the hernia.