Femoral Hernia

What is femoral hernia?

The femoral hernia is not a hernia that occurs in the behind.

Both femoral hernia and inguinal hernia fall under groin hernia because they occur in the groin. The difference is that the gap that the protrusion passes through is different. The inguinal hernia is located at the inguinal canal or directly protrudes from the ab-dominal wall of the groin. The protruding position is higher and farther inside. Femoral hernia is a protrusion at the femoral canal in the lower lateral inguinal region. This type of hernia occurs at the junction of the thigh and the abdomen. The intestines or ab-dominal omentum are accompanied by the femoral canal protruding from the lateral in-guinal region and upper inner thigh, which is normally due to pregnancy or forced exer-tion when giving birth. At this time, the intestines will pass through the fragile part of the femoral ring tissue, move into the femoral canal which is near the femoral artery and vein of the thigh and protrude. It is more likely to be clamped or stranded at the early stage of femoral hernia than inguinal hernia. Therefore, it is necessary to repair femoral hernia before such complications occur once it is diagnosed.

Femoral hernia is common in women, but men may also get it.

Femoral hernia is rare, accounting for only 3% of all hernias, and mostly occurs in mid-dle-aged women who have had several births and elderly obese women.

Femoral hernia can cause pain in the groin and is often mistaken as inguinal hernia.

What causes femoral hernia?

Most often, hernia has no obvious cause. Some hernias are congenital, but they are not discovered until the patient grows up.

There are several reasons for hernia formation:

  • Long-term constipation
  • Long-term coughing
  • Weightlifting
  • Obesity
  • Exerting force when urinating due to prostatic hyperplasia

Femoral hernia is more common in women.

What are the symptoms of femoral hernia?

You will see a lump of femoral hernia in the upper thigh which is near to the groin.

Femoral hernia is mostly asymptomatic. This hernia may cause discomfort in the groin, which is especially noticeable when standing, lifting heavy objects or exerting force.

Abdominal pain, nausea and vomiting may be the first symptoms. It means that your intestines may be blocked, and you should be taken to the hospital urgently.

How to diagnose femoral hernia?

An experienced doctor can identify if there is any hernia from your symptoms and the palpation.

In general, this protrusion is easily touched. The best diagnostic method is to use the simplest one, palpation. When the patient’s abdomen is pressed down, the doctor uses repeated pressure palpation to feel the dynamic changes in the structure of the groin. If there is any abnormal content, the diagnosis can be established by the repeated dynamic changes of contraction and relaxation.

Most hernias are difficult to recover from, and the position of the protrusion is lower and more lateral. An experienced doctor may be able to identify an inguinal hernia or femoral hernia by palpation.

How to treat femoral hernia?

Femoral hernia will not heal by itself. Even if there are no symptoms, it is still necessary to treat it. Otherwise, the intestines may get stuck in the hernia sac and become incar-cerated hernia or strangulated hernia.

When incarcerated hernia or strangulated hernia occurs, the blood flowing to the intes-tines is cut off and is life-threatening, so urgent surgery is required.

Prevention of femoral hernia

There is no specific way to prevent hernia from occurring or to prevent hernia from get-ting stuck and resulting in necrosis, but it is better not to increase abdominal pressure.

  • Drink plenty of water and eat high-fiber foods to prevent constipation.
  • People who are overweight have to lose weight.
  • Problems such as frequent urination, difficulty in urination and getting up to go to the toilet in the middle of the night may be caused by prostatic hyperplasia. Please go to the clinic or hospital for medical treatment.
  • Apply force in the correct way when lifting things.

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