Femoral hernia
A femoral hernia occurs below the inguinal ligament where the major blood vessels enter/exit the abdomen. These hernias can be small and subtle but have a higher risk of bowel trapping (incarceration/strangulation), so repair is usually recommended promptly.
Who gets femoral hernias?
Femoral hernias are more common in women and in older adults, but can occur in anyone. They often present as discomfort or a small lump at the top inner thigh/groin crease.
Why prompt repair matters
The femoral canal is a tight space. When bowel enters a femoral hernia, it can become trapped more easily, increasing the risk of strangulation. Because of this, femoral hernias are typically repaired without long delay.
Treatment options
Repair may be performed with minimally invasive (laparoscopic) techniques or with an open approach, depending on anatomy, urgency, and previous operations.