Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,

Femoral Hernia Surgery

Celebrities who have suffered from Hernia

Amitabh Bachchan

In 2012, legendary actor Amitabh Bachchan underwent hernia surgery after visiting the hosiptal due to abdominal pain. According to sources, he was operated upon for bilateral inguinal hernia. (Source)

Dwayne Johnson

In an interview, the actor revealed that due to a wrestling injury from a match in 2013 against John Cena, he had to undergo a triple hernia surgery and hence can no longer workout to have six-pack abs. (Source) 

Denise Richards

Back in 2019, Denise Richards revealed to her followers on social media how she quietly underwent an emergency procedure for four hernias. Re-posting a slideshow shared by her husband, Aaron Phypers, Richards opened up about realizing she should get help rather than continue to try to power through. (Source) 

Amazing Facts About Femoral Hernia

  • Less Common: Femoral hernias are less common than inguinal hernias and make up approximately 2-4% of all hernias. They are more prevalent in women, particularly those over the age of 65. (Source)
  • Female Predominance: Femoral hernias are more common in women, with a female-to-male ratio of about 10:1. This may be due to anatomical differences, such as a wider and more vertically oriented femoral canal in women. (Source)
  • Higher Risk of Incarceration and Strangulation: Femoral hernias have a higher risk of incarceration and strangulation compared to other hernia types. The narrow femoral canal can easily trap and compress the herniated tissue, leading to compromised blood flow and potential strangulation. This makes timely diagnosis and treatment crucial. (Source)
  • Low Recurrence Rate: The recurrence rate of femoral hernia repair is generally low, especially when using mesh reinforcement. However, the risk of recurrence increases with larger hernias, improper surgical technique, and failure to address underlying risk factors, such as obesity or chronic coughing. (Source)

4 Reasons for Early Treatment of Femoral Hernia

  1. Prevention of complications: Early treatment can help prevent potential complications of femoral hernia, such as strangulation or obstruction of the hernia contents, which can lead to severe pain, tissue damage, and even life-threatening conditions.
  2. Symptom relief: Early treatment can alleviate symptoms like groin pain, discomfort, and swelling associated with femoral hernia, improving the individual’s overall quality of life and allowing them to engage in daily activities without limitations.
  3. Prevention of hernia enlargement: Treating a femoral hernia early can prevent the hernia from getting larger and more difficult to repair, making the surgical intervention simpler and reducing the risk of complications during the procedure.
  4. Preservation of tissue integrity: Early treatment helps preserve the integrity of the surrounding tissues and muscles, reducing the risk of tissue damage and weakening that may occur if the hernia is left untreated for a prolonged period.

Complications of Untreated Femoral Hernia

  1. Incarceration: Untreated femoral hernia can lead to incarceration, which occurs when the hernia becomes trapped and cannot be pushed back into place. This can cause severe pain and discomfort and may require emergency surgery to prevent further complications.
  2. Strangulation: If a femoral hernia becomes incarcerated and blood supply to the herniated tissue is cut off, it can lead to strangulation. Strangulation is a serious complication that can result in tissue death (necrosis) and can be life-threatening. Immediate medical attention is required to prevent this complication.
  3. Bowel Obstruction: As the femoral hernia enlarges and the herniated contents become trapped, it can lead to bowel obstruction. Bowel obstruction can cause symptoms such as severe abdominal pain, nausea, vomiting, and the inability to pass stool or gas. Surgery is typically needed to relieve the obstruction.
  4. Peritonitis: If a femoral hernia becomes strangulated and causes bowel perforation, it can lead to peritonitis. Peritonitis is an infection and inflammation of the lining of the abdominal cavity. It is a medical emergency that requires immediate treatment with antibiotics and surgery to repair the hernia and remove any infected tissue.

What is Femoral Hernia?

A femoral hernia occurs when a part of the intestine or other abdominal tissue protrudes through the femoral canal, a small opening in the groin area. Femoral hernias are more common in women and can cause a visible bulge or swelling in the groin or upper thigh region.

Risk Factors to develop Femoral Hernia

  1. Gender: Femoral hernias are more common in women than in men. This is because the female anatomy has a wider pelvis, which creates a larger femoral canal where hernias can occur.
  2. Age: The risk of developing a femoral hernia increases with age. It is more common in individuals over the age of 50.
  3. Obesity: Excess weight and obesity can put additional pressure on the abdomen and increase the likelihood of developing a hernia. The increased pressure can weaken the muscles and tissues in the groin area, making them more susceptible to herniation.
  4. Pregnancy: Pregnancy can increase the risk of developing a femoral hernia due to the pressure exerted on the abdomen and groin area by the growing uterus. Hormonal changes during pregnancy can also weaken the muscles and ligaments, making them more prone to herniation.
  5. Chronic coughing or straining: Conditions that cause chronic coughing, such as chronic obstructive pulmonary disease (COPD) or persistent straining due to constipation, can increase the risk of developing a femoral hernia. The repeated pressure on the abdomen and groin area can weaken the muscles and contribute to herniation.
  6. Previous hernia: Individuals who have previously had a hernia, such as an inguinal hernia or an incisional hernia, may be at a higher risk of developing a femoral hernia. This could be due to weakened muscles and tissues in the groin area.
  7. Connective tissue disorders: Certain connective tissue disorders, such as Ehlers-Danlos syndrome, may increase the risk of developing a femoral hernia. These conditions affect the strength and integrity of the connective tissues, making them more susceptible to herniation.

Symptoms of Femoral Hernia

Common symptoms of a femoral hernia include-
  • A bulge or lump in the groin or upper thigh, 
  • Groin discomfort or pain that worsens with physical activity, and 
  • A feeling of heaviness or pressure in the groin. 
If you experience persistent symptoms or notice any changes in the size or appearance of the hernia, it is important to consult a doctor for a proper evaluation and diagnosis.

Diagnosis of Femoral Hernia

The diagnosis of a femoral hernia typically involves a combination of medical history, physical examination, and diagnostic tests. The following steps are commonly involved in the diagnosis of a femoral hernia:
  1. Medical History: The doctor will begin by asking about the patient’s medical history, including any symptoms experienced and their duration. They will inquire about any risk factors or predisposing factors for developing a femoral hernia.
  2. Physical Examination: The doctor will perform a physical examination, focusing on the groin area. They may gently press on the area and ask the patient to cough or strain, which can cause the hernia to become more prominent. The doctor will assess for any bulges or abnormal swelling in the groin region.
  3. Imaging Tests: Diagnostic imaging tests may be recommended to confirm the diagnosis and evaluate the size and position of the femoral hernia. These may include: a. Ultrasound: Ultrasound imaging uses sound waves to create real-time images of the internal structures. It can help visualize the presence of a femoral hernia and determine its characteristics, such as size and contents. b. CT Scan: A computed tomography (CT) scan may be performed in cases where the diagnosis is uncertain or to provide more detailed information about the hernia. It can help visualize the hernia sac and surrounding structures.

Treatment of Femoral Hernia

The primary treatment for femoral hernias is surgical repair, as they do not resolve on their own. Laparoscopic surgery has emerged as a preferred approach for femoral hernia repair due to its numerous advantages over open surgery.

Laparoscopic Femoral Hernia Surgery

During laparoscopic femoral hernia surgery, several small incisions are made near the hernia site. A laparoscope, which is a thin tube with a camera, is inserted through one of the incisions, providing a clear view of the hernia on a monitor. Specialized instruments are used to push the hernia back into place and reinforce the weakened area with a mesh. The procedure is performed under general anesthesia.

Benefits of Laparoscopic Femoral Hernia Surgery

  1. Minimally invasive: Laparoscopic surgery involves smaller incisions, resulting in reduced scarring, less postoperative pain, and faster recovery compared to open surgery.
  2. Lower risk of complications: Laparoscopic procedures have a lower risk of infection, wound complications, and hernia recurrence.
  3. Improved cosmetic outcome: The smaller incisions used in laparoscopic surgery lead to less visible scarring and better cosmetic results.

Preparation for Femoral Hernia Surgery

Preparing for femoral hernia surgery involves several steps to ensure a safe and successful procedure. Here are some key aspects of the preparation process:
  1. Consultation with a Surgeon: Schedule a consultation with a surgeon who specializes in femoral hernia surgery. During this appointment, the surgeon will evaluate your hernia, review your medical history, and discuss the surgical options available to you.
  2. Medical Evaluation: Your surgeon may request certain medical evaluations to assess your overall health and determine your eligibility for surgery. These may include blood tests, imaging studies (such as an ultrasound or CT scan), and an electrocardiogram (ECG) to evaluate your heart function.
  3. Medication Review: Inform your surgeon about all the medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements. Your surgeon will provide instructions on which medications to continue or discontinue before the surgery.
  4. Fasting: You will be instructed to fast for a specific period of time before the surgery. This is typically about 8 hours for solid food and 2 hours for clear liquids. Fasting helps reduce the risk of complications during the procedure.
  5. Anesthesia Consultation: If general anesthesia or sedation will be used during the surgery, you may need to schedule a separate consultation with an anesthesiologist. The anesthesiologist will evaluate your medical history, discuss the anesthesia options available, and address any concerns you may have.
  6. Lifestyle Adjustments: Your surgeon may recommend certain lifestyle adjustments to optimize your health before the surgery. This may include quitting smoking, maintaining a healthy weight, and managing any underlying conditions, such as diabetes or high blood pressure. These measures can help reduce the risk of complications and promote a faster recovery.
  7. Preoperative Instructions: Follow any preoperative instructions provided by your surgeon. These may include guidelines on when to stop eating and drinking before the surgery, instructions on showering with antibacterial soap, and details about any required bowel preparation.
  8. Support and Assistance: Arrange for a family member or friend to accompany you to the surgery and help with transportation and postoperative care. Having support during the recovery period can greatly aid in your comfort and well-being.
Remember to communicate openly with your surgeon and healthcare team, and ask any questions or express any concerns you may have. By following the preoperative instructions and preparing adequately, you can help ensure a successful surgery and a smooth recovery process.

Anaesthesia for Femoral Hernia Surgery

During hernia surgery, anesthesia is administered to ensure the patient’s comfort and safety throughout the procedure. The type of anesthesia used will depend on various factors, including the type and location of the hernia, the extent of the surgery, the patient’s overall health, and the surgeon’s preference. The two main types of anesthesia commonly used for hernia surgery are general anesthesia and local anesthesia with sedation.
  1. General Anesthesia: In general anesthesia, the patient is completely unconscious and unaware during the surgery. It is administered by an anesthesiologist through intravenous medications and inhaled gases. General anesthesia allows for complete relaxation of the patient’s muscles, ensuring optimal surgical conditions. The patient is closely monitored throughout the procedure to maintain vital signs and ensure safety.
  2. Local Anesthesia with Sedation: In some cases, hernia surgery may be performed under local anesthesia with the addition of sedation. Local anesthesia involves injecting a numbing medication into the surgical area to block pain sensation. Sedation is administered through intravenous medications to help the patient relax and remain comfortable during the procedure. With this type of anesthesia, the patient is usually awake but feels drowsy and relaxed.
The choice of anesthesia depends on various factors, including the type and complexity of the hernia, the patient’s medical condition, and the surgeon’s recommendation. The anesthesiologist will evaluate the patient’s medical history, perform a physical examination, and consider any specific risks or concerns before determining the most suitable anesthesia approach.It is important for patients to discuss their medical history, allergies, and any concerns or fears related to anesthesia with their healthcare team. The anesthesiologist will explain the anesthesia plan, discuss potential risks and side effects, and address any questions or concerns. Patient safety and comfort are the top priorities during hernia surgery, and the anesthesia team will closely monitor the patient’s vital signs and adjust the anesthesia as needed throughout the procedure.

Recovery after Femoral Hernia Surgery

Recovering from femoral hernia surgery is a gradual process that requires patience and proper care to ensure a smooth and successful recovery. While individual experiences may vary, here are some general guidelines to follow:
  1. Hospital Stay: The length of your hospital stay will depend on the extent of the surgery and your overall health. In some cases, femoral hernia surgery can be performed as an outpatient procedure, allowing you to go home on the same day. However, if the surgery is more complex or there are any complications, an overnight hospital stay may be required.
  2. Pain Management: It is common to experience some pain and discomfort in the groin or surgical area after the surgery. Your doctor will prescribe pain medications to help manage post-operative pain. Take the medications as instructed and report any severe or worsening pain to your healthcare provider.
  3. Incision Care: If your surgery involved making incisions, proper care of the surgical site is crucial for preventing infection and promoting healing. Follow your surgeon’s instructions on how to keep the incisions clean and dry. You may need to change dressings regularly and apply any recommended ointments. Avoid soaking in baths or swimming until your healthcare provider gives you the go-ahead.
  4. Restricted Activities: During the initial recovery period, it is important to limit physical activity and avoid activities that may strain the surgical area. Your surgeon will provide specific instructions on when you can gradually resume normal activities and exercise. It is essential to avoid heavy lifting or intense workouts until cleared by your healthcare provider.
  5. Dietary Modifications: Your surgeon or a dietitian may provide dietary guidelines to follow after femoral hernia surgery. This may include consuming a balanced diet with adequate fiber to prevent constipation, staying hydrated, and avoiding foods that may cause bloating or gas. Follow the recommended dietary guidelines to minimize discomfort and promote healing.
  6. Medications: Your surgeon may prescribe medications such as pain relievers, antibiotics, or medications to prevent constipation. Take all medications as directed and report any side effects or concerns to your healthcare provider.
  7. Follow-up Appointments: Attend all scheduled follow-up appointments with your surgeon. These visits allow your surgeon to monitor your healing progress, remove any stitches or staples if necessary, and address any concerns or complications that may arise.
  8. Supportive Measures: Use pillows or cushions to support the surgical area and provide comfort while sitting or lying down. Wearing loose-fitting clothing can also help minimize discomfort and allow for proper healing.
  9. Signs of Complications: Be aware of any signs or symptoms that may indicate complications, such as excessive bleeding, persistent pain, swelling, redness, fever, or difficulty urinating. If you experience any of these symptoms, contact your healthcare provider immediately.
Recovery times can vary depending on the individual and the complexity of the surgery. It is important to follow your surgeon’s specific instructions and attend all follow-up appointments for a successful recovery. By taking care of yourself, following post-operative guidelines, and seeking medical attention if needed, you can support a smooth and healthy recovery after femoral hernia surgery.

Risks and side effects of Femoral Hernia Surgery

  1. Potential complications: Although laparoscopic surgery is generally safe, there is a small risk of complications such as bleeding, infection, or injury to surrounding tissues.
  2. Hernia recurrence: While laparoscopic surgery has a low recurrence rate, there is still a possibility of the hernia recurring in some cases.
  3. Postoperative discomfort: Some patients may experience mild discomfort or swelling after the surgery, which can typically be managed with pain medication and a proper recovery plan.

80 years old, heart patient. Nevertheless, a ruptured gall bladder was successfully treated with binoculars.

Celebrities who have suffered from Hernia

Amitabh Bachchan

In 2012, legendary actor Amitabh Bachchan underwent hernia surgery after visiting the hosiptal due to abdominal pain. According to sources, he was operated upon for bilateral inguinal hernia.

Dwayne Johnson

In an interview, the actor revealed that due to a wrestling injury from a match in 2013 against John Cena, he had to undergo a triple hernia surgery and hence can no longer workout to have six-pack abs.

Denise Richards

Back in 2019, Denise Richards revealed to her followers on social media how she quietly underwent an emergency procedure for four hernias. Re-posting a slideshow shared by her husband, Aaron Phypers, Richards opened up about realizing she should get help rather than continue to try to power through.

Amazing Facts About Femoral Hernia

Femoral hernias are less common than inguinal hernias and make up approximately 2-4% of all hernias. They are more prevalent in women, particularly those over the age of 65. (Source)

Femoral hernias are more common in women, with a female-to-male ratio of about 10:1. This may be due to anatomical differences, such as a wider and more vertically oriented femoral canal in women. (Source)

 Femoral hernias have a higher risk of incarceration and strangulation compared to other hernia types. The narrow femoral canal can easily trap and compress the herniated tissue, leading to compromised blood flow and potential strangulation. This makes timely diagnosis and treatment crucial. (Source)

The recurrence rate of femoral hernia repair is generally low, especially when using mesh reinforcement. However, the risk of recurrence increases with larger hernias, improper surgical technique, and failure to address underlying risk factors, such as obesity or chronic coughing. (Source)

4 Reasons for Early Treatment of Femoral Hernia

Complications of Untreated Femoral Hernia

What is Femoral Hernia?

A femoral hernia occurs when a part of the intestine or other abdominal tissue protrudes through the femoral canal, a small opening in the groin area. Femoral hernias are more common in women and can cause a visible bulge or swelling in the groin or upper thigh region.

Risk Factors to develop Femoral Hernia

  1. Gender: Femoral hernias are more common in women than in men. This is because the female anatomy has a wider pelvis, which creates a larger femoral canal where hernias can occur.
  2. Age: The risk of developing a femoral hernia increases with age. It is more common in individuals over the age of 50.
  3. Obesity: Excess weight and obesity can put additional pressure on the abdomen and increase the likelihood of developing a hernia. The increased pressure can weaken the muscles and tissues in the groin area, making them more susceptible to herniation.
  4. Pregnancy: Pregnancy can increase the risk of developing a femoral hernia due to the pressure exerted on the abdomen and groin area by the growing uterus. Hormonal changes during pregnancy can also weaken the muscles and ligaments, making them more prone to herniation.
  5. Chronic coughing or straining: Conditions that cause chronic coughing, such as chronic obstructive pulmonary disease (COPD) or persistent straining due to constipation, can increase the risk of developing a femoral hernia. The repeated pressure on the abdomen and groin area can weaken the muscles and contribute to herniation.
  6. Previous hernia: Individuals who have previously had a hernia, such as an inguinal hernia or an incisional hernia, may be at a higher risk of developing a femoral hernia. This could be due to weakened muscles and tissues in the groin area.
  7. Connective tissue disorders: Certain connective tissue disorders, such as Ehlers-Danlos syndrome, may increase the risk of developing a femoral hernia. These conditions affect the strength and integrity of the connective tissues, making them more susceptible to herniation.

Symptoms of Femoral Hernia

Common symptoms of a femoral hernia include-

  • A bulge or lump in the groin or upper thigh, 
  • Groin discomfort or pain that worsens with physical activity, and 
  • A feeling of heaviness or pressure in the groin. 

If you experience persistent symptoms or notice any changes in the size or appearance of the hernia, it is important to consult a doctor for a proper evaluation and diagnosis.

Treatment of Femoral Hernia

The treatment of umbilical hernias typically involves surgical repair to strengthen the weakened abdominal muscles and close the hernia defect. Laparoscopic surgery, also known as minimally invasive or keyhole surgery, has emerged as a preferred approach for umbilical hernia repair due to its many advantages.

Diagnosis of Femoral Hernia

The diagnosis of a femoral hernia typically involves a combination of medical history, physical examination, and diagnostic tests. The following steps are commonly involved in the diagnosis of a femoral hernia:

  1. Medical History: The doctor will begin by asking about the patient’s medical history, including any symptoms experienced and their duration. They will inquire about any risk factors or predisposing factors for developing a femoral hernia.
  2. Physical Examination: The doctor will perform a physical examination, focusing on the groin area. They may gently press on the area and ask the patient to cough or strain, which can cause the hernia to become more prominent. The doctor will assess for any bulges or abnormal swelling in the groin region.
  3. Imaging Tests: Diagnostic imaging tests may be recommended to confirm the diagnosis and evaluate the size and position of the femoral hernia. These may include:
    a. Ultrasound: Ultrasound imaging uses sound waves to create real-time images of the internal structures. It can help visualize the presence of a femoral hernia and determine its characteristics, such as size and contents.
    b. CT Scan: A computed tomography (CT) scan may be performed in cases where the diagnosis is uncertain or to provide more detailed information about the hernia. It can help visualize the hernia sac and surrounding structures.

Laparoscopic Femoral Hernia Surgery

During laparoscopic femoral hernia surgery, several small incisions are made near the hernia site. A laparoscope, which is a thin tube with a camera, is inserted through one of the incisions, providing a clear view of the hernia on a monitor. Specialized instruments are used to push the hernia back into place and reinforce the weakened area with a mesh. The procedure is performed under general anesthesia.

Benefits of Laparoscopic Femoral Hernia Surgery

Preparation for Femoral Hernia Surgery

Preparing for femoral hernia surgery involves several steps to ensure a safe and successful procedure. Here are some key aspects of the preparation process:

Remember to communicate openly with your surgeon and healthcare team, and ask any questions or express any concerns you may have. By following the preoperative instructions and preparing adequately, you can help ensure a successful surgery and a smooth recovery process.

Anaesthesia for Femoral Hernia Surgery

During hernia surgery, anesthesia is administered to ensure the patient’s comfort and safety throughout the procedure. The type of anesthesia used will depend on various factors, including the type and location of the hernia, the extent of the surgery, the patient’s overall health, and the surgeon’s preference. The two main types of anesthesia commonly used for hernia surgery are general anesthesia and local anesthesia with sedation.

The choice of anesthesia depends on various factors, including the type and complexity of the hernia, the patient’s medical condition, and the surgeon’s recommendation. The anesthesiologist will evaluate the patient’s medical history, perform a physical examination, and consider any specific risks or concerns before determining the most suitable anesthesia approach.

It is important for patients to discuss their medical history, allergies, and any concerns or fears related to anesthesia with their healthcare team. The anesthesiologist will explain the anesthesia plan, discuss potential risks and side effects, and address any questions or concerns. Patient safety and comfort are the top priorities during hernia surgery, and the anesthesia team will closely monitor the patient’s vital signs and adjust the anesthesia as needed throughout the procedure.

Recovery after Femoral Hernia Surgery

Recovering from femoral hernia surgery is a gradual process that requires patience and proper care to ensure a smooth and successful recovery. While individual experiences may vary, here are some general guidelines to follow:

Recovery times can vary depending on the individual and the complexity of the surgery. It is important to follow your surgeon’s specific instructions and attend all follow-up appointments for a successful recovery. By taking care of yourself, following post-operative guidelines, and seeking medical attention if needed, you can support a smooth and healthy recovery after femoral hernia surgery.

Risks and side effects of Femoral Hernia Surgery

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