Name of the Procedure:

Repair initial femoral hernia, any age; reducible
Common name(s): Femoral hernia repair

Summary

A femoral hernia repair is a surgical procedure to fix a bulge of tissue that protrudes through the wall of the femoral canal. This bulge can cause discomfort and other complications. The procedure involves returning the protruding tissue to its proper place and strengthening the weakened area.

Purpose

• Medical condition: Femoral hernia
• Goals: To alleviate pain and discomfort, prevent complications such as strangulation of the hernia, and restore normal anatomy.

Indications

• Persistent pain or discomfort in the groin or upper thigh
• Visible bulge near the upper thigh or groin
• Nausea or vomiting associated with the hernia
• Weakness or pressure in the groin area
• Hernia that can be pushed back into the abdomen (reducible) but recurs

Preparation

• Fasting: Usually required for 6-8 hours before surgery.
• Medication adjustments: Instructions will be provided regarding any medications to avoid before the procedure.
• Diagnostics: Physical examination and imaging tests like ultrasound or CT scan may be needed to confirm the hernia and plan the surgery.

Procedure Description

1. Anesthesia: General anesthesia or regional anesthesia may be used.
2. Incision: A small incision is made near the site of the hernia.
3. Reducing the hernia: The protruding tissue is gently pushed back into place within the abdomen.
4. Reinforcing the weakness: The weakened area of the femoral canal is strengthened, often with the use of a synthetic mesh.
5. Closing the incision: The incision is closed with sutures, staples, or surgical glue.

Duration

Approximately 30 minutes to 1 hour.

Setting

• Usually performed in a hospital or an outpatient surgical center.

Personnel

• Surgeon: Performs the repair.
• Nurses: Assist with the procedure and provide perioperative care.
• Anesthesiologist: Administers anesthesia and monitors the patient.

Risks and Complications

• Common: Infection, bleeding, pain at the surgical site.
• Rare: Injury to surrounding tissues or organs, recurrence of the hernia, adverse reaction to anesthesia.

Benefits

• Alleviation of pain and discomfort.
• Prevention of serious complications such as hernia strangulation.
• Improved quality of life and physical activity levels.
• Many patients return to normal activities within a few weeks.

Recovery

• Post-procedure care: May include pain management, wound care, and wearing a supportive garment.
• Expected recovery time: Usually 1-2 weeks for most normal activities, with full recovery in about 4-6 weeks.
• Restrictions: Avoid heavy lifting and strenuous activities during initial recovery.
• Follow-up: Typically includes a post-operative visit to ensure proper healing.

Alternatives

• Watchful waiting: Monitoring the hernia if it is not causing significant symptoms.
• Laparoscopic repair: A minimally invasive alternative with similar goals but smaller incisions.

Patient Experience

• During: The patient will be under anesthesia and should not feel pain. Some local anesthesia may still be necessary depending on the case.
• After: Mild to moderate discomfort is common and can be managed with pain medication. Patients may experience some swelling and bruising near the incision site.
• Pain management: Pain medications will be prescribed as needed, and applying ice packs can reduce swelling.

This guide offers a comprehensive overview of the femoral hernia repair procedure, ensuring patients are well-informed and prepared for their surgical experience.