A femoral hernia occurs in the upper part of the thigh (below the spot of an inguinal hernia) and it is seen more often in women. The content of a femoral hernia is almost always the small intestine. Therefore, femoral hernias are considered extremely dangerous since there is a high probability of strangulation, that can lead to bowel ischemia and necrosis.
Predisposing factors for femoral hernias are multiple pregnancies in the past, obesity and older age.
Due to its anatomic location, a femoral hernia may be completely asymptomatic, initially. In case of strangulation, severe pain, nausea and vomiting are often present and urgent surgical repair is indicated.
The laparoscopic (endoscopic) extraperitoneal repair with the placement of a mesh is the optimal surgical approach, in all elective cases.