Femoral hernias that are small and asymptomatic may not require specific treatment. Your doctor might monitor your condition to see if symptoms progress. Moderate to large femoral hernias require surgical repair, especially if they’re causing any level of discomfort.
Surgical hernia repair
Femoral hernia repair is a procedure to fix the weak portion of the muscle wall. This intervention stops internal tissues from pushing through and causing a bulge. Moderate and severe hernias typically require surgery.
There are 2 types of surgery for femoral hernia repair. The type of surgery necessary depends on the size of the hernia, the person’s age, their general health, and other factors.
Surgical hernia repair may be:
. Open
People having open surgery typically receive general anesthesia, meaning they are fully asleep for the operation. They may sometimes receive a local anesthetic so that the area is numb, but they are awake for the procedure.
The surgeon will begin by making a small incision in the groin to access the hernia. They will move the bulging tissue back into the abdomen before repairing the femoral canal wall with strong stitches or a piece of mesh.
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. Laparoscopic
Doctors perform this minimally invasive surgery under general anesthesia. It involves making several small incisions in the lower abdomen.
The surgeon will then place a thin tube with a tiny camera, a laparoscope, into the incisions. They will also insert surgical tools into the other incisions to move the tissue back into the abdomen and repair the damaged muscle with mesh.
Laparoscopic surgery is not suitable for all patients, for example, those with a very large hernia.
Recovery time is, however, usually quicker than open surgery. There is also less scarring than with an open repair.