Hernias are common in people. It occurs when an organ or tissue pushes through a weak spot in muscle or connective tissue. The two common types of hernias that can occur are femoral hernia and inguinal hernia, among others, and they can be painful. Even though they feel the same, they have different causes, symptoms, and treatments. It is important to know the difference for early diagnosis and proper management.
When tissue pops through the femoral canal—a passage close to your upper thigh—a femoral hernia develops. Hernias in the femoral region tend to occur more often in women due to their wider pelvis. It often appears as a small lump near the groin or upper thigh and may initially be painless. But, as it gets bigger, it can hurt a lot, especially when standing, lifting, or straining. The primary concern with a femoral hernia is its high risk of strangulation. The herniated tissue can get pinched off by the narrow femoral canal and lose blood supply. It may cause you to feel terrible pain and nausea attacks with possible lethal complications. Due to this risk, surgery is often recommended quickly so there are no more problems.
An inguinal hernia occurs when tissue pushes through the inguinal canal, a passage in the lower abdomen near the groin. Unlike femoral hernia, this condition is more common in men, particularly those who engage in heavy lifting or strenuous physical activities. It usually appears as a noticeable bulging in the groin region, which enlarges with coughing, bending, and lifting. Inguinal hernias are less likely than femoral hernia to strangulate, but still, they may cause discomfort and pain. An immediate surgery is not required in some cases. However, if the hernia increases in size or becomes painful, medical help is needed.
Even though both conditions might involve some tissue sticking out through some weak areas in the body, they have different causes. If you have an abdominal hernia, the cause may be an increase in pressure in the abdomen. Women are more likely to develop this hernia because of their anatomical structure. On the other hand, inguinal hernias are mainly the result of a congenital fault in the inguinal canal or excessive strain through frequent heavy lifting. Hernia transpires more in men, and any age group can be affected.
Symptoms of a femoral hernia include a visible lump near the thigh, discomfort in the groin area, and pain when standing or straining. If strangulation occurs, symptoms may escalate to severe pain, nausea, and vomiting.
Inguinal hernias, on the other hand, often cause a bulge in the groin that may disappear when lying down. Mild discomfort and occasional sharp pain are common symptoms, particularly after physical exertion.
To diagnose these hernias, doctors perform a physical examination and may use imaging tests such as an ultrasound or CT scan to confirm the type and severity of the hernia.
Both femoral hernia and inguinal hernia typically require surgical intervention, particularly if symptoms worsen. Laparoscopic surgery is a preferred technique for both types, as it offers a minimally invasive approach with quicker recovery times and reduced postoperative pain.
In the case of a femoral hernia, surgery is usually performed as an emergency procedure due to the higher risk of complications. Inguinal hernias, if small and not causing severe discomfort, may be monitored for some time before surgery is considered. However, once they grow or cause pain, surgical repair becomes necessary.
Ignoring a femoral hernia can lead to severe complications, including strangulation, which requires immediate medical attention. Inguinal hernias, though less likely to cause immediate issues, can still grow larger and interfere with daily activities. Seeking timely medical advice ensures the best possible outcome and prevents unnecessary complications.
For those experiencing symptoms, consulting an experienced surgeon is crucial. Laparoscopic surgery, offered at Meta Heal-Laparoscopy and Bariatric Surgery Center by Dr. Aparna Govil Bhasker, provides an effective and safe solution for hernia repair. More information can be found at Meta Heal-Laparoscopy and Bariatric Surgery Center.
Dr. Aparna Govil Bhasker is a Laparoscopic & Bariatric Surgeon with experience of over 15 years. She is an alumnus of Mahatma Gandhi Institute of Medical Sciences, Sewagram. Incidentally, she was the first lady in more than 20 years to take up surgery as a specialization in her institute. Women in surgery constitute less than 5% of the total number of surgeons in India and have to face a lot of prejudices. However, she considers herself to be blessed to have been trained by the best teachers and most supportive colleagues… Read more