Femoral Hernia Treatment with & without Surgery or Repair, Complications

Even if you live a healthy lifestyle, eat all the right foods, and exercise frequently a femoral hernia is not going to go away. It stands a high chance of becoming incarcerated or undergo strangulation which is a dangerous and life-threatening situation. Ideally, upon diagnosis, get your affairs squared away and schedule the surgery before you suffer swelling, pain and tissue demise.

What is Femoral Hernia Repair?

Surgery is imperative because, unlike other hernias, this form stands a good chance of viscus strangulation with mortality. Your gastrointestinal surgeon has three options for incisional access. One of the most frequently utilized techniques is McEvedy’s high approach.

There is also Lockwood’s infra-inguinal method. In addition, Lotheissen’s trans-inguinal incision might also be commonly performed for the femoral hernia repair. The McVey method was once preferred but does not hold the hernia returns. Presently, Lockwood’s strategy is superb for uncomplicated surgeries. Laparoscopic repair is less invasive.

Undergoing Femoral Hernia Surgery

You are probably nervous and apprehensive about undergoing any surgical procedure. Femoral hernia surgery is especially mortifying.

Here are a few things you can expect.

Anesthesia choices: The night before you will meet with an anesthesiologist who will explain if he plans on using general which puts you completely to sleep and you must be intubated or a regional such as a spinal block. With a subarachnoid block (intradural) an anesthetic mixed with an opioid is injected straight into your spin’s subarachnoid region. They insert a fine needle which measures 9 centimeters (3.5 inches) in length. The medication is released directly into the spinal cord. They leave a catheter in place to continue administering medications. You will be numb from the waist down to your toes. This the same method used by obstetricians to perform a cesarean. The anesthesiologist will continue to monitor your heart rate, pulse, and oxygen levels. Headaches may occur after the spinal.

Incision: An incision is sliced in the groin. Removal of excess tissue is common. With his fingertips, the surgeon carefully pushes the bowel back up into its proper location. The weakened muscles are sutured suture shut with stitches or mesh for superior reinforcement. The entire incision is then sealed.

Laparoscopic surgery: You might cringe because this form involves addition cuts (up to five) in the groin and belly region. The cannula (wand) Of the laparoscope is inserted directly into the cut. This has a camera with a light attached to the end and allows the surgeon to monitor on a computer screen or television the progress. Additional tools are inserted through the hollow tube so that a complete repair is fashioned. The surgeon enters each of the cuts to effectively cover all areas during the repair.

Are There Any Femoral Hernia Surgery Complications?

Seniors are always at risk during surgery. Femoral hernia surgery complications are rare but they do occur, especially in seniors and individuals of advanced age.

  • Scar tissue forms a lump under the wound which can be felt with the fingers or is visible with the naked eye. For women, this lump is bothersome if wearing intimate apparel or swimwear.
  • Also, the lump can rub against the inner thighs while walking, jogging, or biking to form an oozing sore or rash.
  • The bowel could become traumatized, bruised, or accidentally nicked.
  • All surgeries can cause temporary or permanent nerve damage. Both men and women fear pelvic numbness and tingling because it can have a horrific effect on their sex life. Men may suffer impotency or be unable to ejaculate. A woman may be able to achieve an orgasm. Urinary incontinence is reported.

What are the Femoral Hernia Repair Complications?

You might think you have achieved a home run and now all you have to do is mend. There is only a brief interval of convalescence. Sadly, sometimes healing doesn’t go smooth. Femoral hernia repair complications can occur.

  • Some have a lifelong difficulty passing urine due to scar tissue or nerve damage.
  • Femoral vein becomes injured or narrows which causes a lack of sufficient blood flow to the extremities.
  • Weakness in the leg which may be temporary or ongoing.
  • Nerve damage which causes you to suffer constant pain in the pubic area and areas of complete and total numbness
  • Erectile dysfunction
  • Testicular discomfort

Is There Femoral Hernia Treatment Without Surgery?

You have been diagnosed with a femoral hernia and now you are looking for options. Sadly, there is no femoral hernia treatment without surgery.

You are actually putting your life in danger because the hernia could become strangled at any moment and you would suffer rapid necropsy which leads to permanent damage or possible death. It is imperative that you pick a surgical technique and go forward with the operation. Do not delay.

Insurance and Billing

The surgery is over and you are home recuperating. The mailman just drove up to the mailbox and delivered your letters and paper bills. You are less than thrilled when you tear open the envelope and start reading the charges. At first, you might be baffled by the codes. Nothing says anything in plain English. Instead, it is a mixture of letters and numbers that depict various procedures. You’ll see a cpt code which has a number that stands for if you underwent laparoscopic surgery or some other therapy. ICD 10 typically stands for a hernia. If you have any questions about your statement, then you should call the hospital’s head billing director to discuss the charges or errors.



Article References:

  1. https://www.nhs.uk/conditions/femoral-hernia-repair/what-happens/
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789711/
  3. https://medlineplus.gov/ency/article/007399.htm
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866176/#b2