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Femoral hernia repair

Femorocele repair; Herniorrhaphy; Hernioplasty - femoral

Femoral hernia repair is surgery to repair a hernia near the groin or upper thigh. A femoral hernia is tissue that bulges out of a weak spot in the groin. Usually this tissue is part of the intestine.

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Description

During surgery to repair the hernia, the bulging tissue is pushed back in. The weakened area is sewn closed or strengthened. This repair can be done with open or laparoscopic surgery. You and your surgeon can discuss which type of surgery is right for you.

In open surgery:

In laparoscopic surgery:

Why the Procedure Is Performed

A femoral hernia needs to be repaired, even if it does not cause symptoms. If the hernia is not repaired, the intestine can get trapped inside the hernia. This is called an incarcerated, or strangulated, hernia. It can cut off blood supply to the intestines. This can be life threatening. If this happens, you would need emergency surgery.

Risks

Risks for anesthesia and surgery in general are:

Risks for this surgery are:

Before the Procedure

Tell your surgeon or nurse if:

During the week before your surgery:

On the day of surgery:

After the Procedure

Most people can go home on the same day as the surgery. Some need to stay in the hospital overnight. If your surgery was done as an emergency, you may need to stay in the hospital a few days longer.

After surgery, you may have some swelling, bruising, or soreness around the incisions. Taking pain medicines and moving carefully can help.

Follow instructions about how active you can be while recovering. This may include:

Outlook (Prognosis)

Outcome of this surgery is often very good. In some people, the hernia returns.

Related Information

Hernia
Femoral hernia

References

Dunbar KB, Jeyarajah DR. Abdominal hernias and gastric volvulus. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 26.

Malangoni MA, Rosen MJ. Hernias. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 44.

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Review Date: 3/12/2019  

Reviewed By: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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