Femoral Hernia
A femoral hernia occurs when your intestines or abdominal tissues bulge through the femoral canal (a region containing the femoral artery, veins, and nerves). Our well-qualified team at Nova Bariatrics and General Surgery offers treatment for femoral hernia in Irving, Arlington, and Paris TX. If you notice an unusual bulge in the lower abdomen or groin area, consult Dr. Alibhai to receive personalized care.
Causes
Certain factors that may contribute to the development of this condition include:
- Childbirth
- Genetic tendency
- Lifting heavy objects
- Persistent coughing
- Straining due to bowel movements
- Obesity
- Ascites (buildup of abdominal fluid)
- Receiving peritoneal dialysis
Diagnosis
In rare cases, the femoral hernia may become strangulated, restricting the blood flow to the affected intestines or abdominal tissues. In such a case, we may perform additional tests, such as abdominal ultrasound or CT scan, to visualize the area in further detail. These tests also help us distinguish between inguinal and femoral hernia, so we can plan the treatment accordingly.
Femoral hernias that are small and do not cause pain or other symptoms may not require any treatment. Our doctor will recommend lifestyle modifications to prevent the condition from worsening over time. However, if you are suffering from a moderate or large femoral hernia, you will require surgical repair.
There are two main surgical options for femoral hernias. The first one is open surgery, which is carried out under general anesthesia. In this procedure, we will place an incision near the site of the hernia and push the bulging tissues back into the abdominal cavity. Our surgeon will repair the lower abdominal wall with stitches or mesh.
The second option is laparoscopic surgery. It is a less invasive procedure in which we will place small incisions and insert a tiny probe (camera) to visualize the inner area. We will move the protruding tissues and repair the abdominal wall. This surgery involves a lesser risk of scarring and has a shorter recovery period.
Frequently Asked Questions
What are the symptoms of a femoral hernia?
Many small femoral hernias cause no symptoms and aren’t visible. When symptoms do appear, they usually include a bulge or lump near the groin or upper inner thigh, aching or discomfort in that area, and pain that worsens when you stand, lift, or strain. Sudden severe pain, nausea, or vomiting can signal a strangulated hernia and should be treated as an emergency.
How is a femoral hernia different from an inguinal hernia?
Both appear near the groin, but they push through different openings. A femoral hernia protrudes lower, through the femoral canal near the top of the thigh, while an inguinal hernia occurs higher, in the inguinal canal. Femoral hernias are less common and more likely to become trapped, which is why an accurate diagnosis (sometimes with ultrasound or CT) matters before treatment.
What does "strangulation" mean, and why is it serious?
Strangulation happens when trapped tissue loses its blood supply. This is a medical emergency that requires urgent surgery to prevent tissue damage. Warning signs include a firm, painful bulge that won’t push back in, sudden intense groin pain, nausea, vomiting, or fever.
What is recovery like after femoral hernia repair?
Recovery depends on whether you have open or laparoscopic surgery. Laparoscopic (minimally invasive) repair generally means smaller incisions, less scarring, and a quicker return to normal activity. Most patients are advised to avoid heavy lifting and strenuous activity for a few weeks. Dr. Alibhai will give you personalized instructions based on your procedure.
When should I see a surgeon about a possible femoral hernia?
If you notice a new lump or persistent discomfort in the groin or inner thigh, it’s worth having it checked. Because femoral hernias are easy to miss and prone to complications, an early evaluation at our Irving, Arlington, Paris, or Southlake offices is the safest approach.