Femoral Hernia

3-FEMORALHERNIAFemoral hernias occur just below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness called the femoral canal. They are relatively uncommon, accounting for only 3% of all hernias. While they can occur in both males and females, they are 10 times more likely to develop in women because of the wider bone structure of the female pelvis. Femoral hernias are more common in adults than in children. Those that do occur in children are more likely to be associated with a connective tissue disorder or with conditions that increase intra-abdominal pressure. Seventy percent of pediatric cases of femoral hernias occur in infants under the age of one. They typically present when standing erect as a groin lump or bulge, which may differ in size during the day, based on internal pressure variations of the intestine. The bulge or lump typically is smaller or may not be visible in a prone position. They may or may not be associated with pain. Often, they present with a varying degree of complication ranging from irreducibility through intestinal obstruction to frank gangrene of contained bowel. The incidence of strangulation in femoral hernias is high and has often been found to be the cause of unexplained small bowel obstruction.

Typically, these type of hernias are best approached through a traditional direct incision, and repaired with implanted polypropylene plastic mesh. Again, someone who is experienced, and has a particular speciality in this kind of repair, is best qualified to determine the best repair option. Following repair, most patients are back to full activities within one week.

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… Although I am 64 years old, I had never had major surgery or general anesthesia. You certainly assuaged most of my concerns during my first visit when you explained everything in detail… I appreciate your kindness and your pleasant and concerned staff. If I ever have to have surgery again I would prefer to have you as my surgeon…
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