Femoral hernias are uncommon, comprising only approximately 3% of groin hernias. Although they may be seen in males, they are 10 times more common in females. These hernias are almost always seen in adults, and present as a bulge or fullness at or below the inguinal crease, medially—close to but somewhat lower than the more common inguinal hernia.
Differentiating a femoral hernia from an inguinal hernia is frequently difficult, and consultation with a hernia specialist may be helpful. Typically, femoral hernias are best approached through a traditional direct incision, and repaired with implanted polypropylene plastic mesh. Inguinal hernias may be optimally repaired with implanted mesh introduced laparoscopically. Again, someone who is experienced, and has a particular interest in hernia repair, is best qualified to determine the best repair option. Following repair, most patients with a femoral hernia are back to full activities within one week.