Femoral hernias are most common in women and occur when there is a weakness near the femoral artery in the upper thigh. Any one of these hernias may be recurrent. This means, simply, that a previously repaired hernia has returned. People with especially weak abdominal walls or multiple surgical sites may simultaneously suffer from a combination of types of hernias.
Tension-Free Bard® PerFix® Plug Technique
Over 3 million of these devices have been implanted worldwide. Surgeons trust this product and have confidence that each time they will have positive clinical results. This device is designed to be used in a tension-free hernia repair technique that takes approximately 25 minutes. The procedure is typically done using a local or epidural anesthetic instead of general anesthesia.
The surgeon makes one small 4-6 cm (1.5 to 2.5 inch) incision and places the plug into the hole where the hernia popped out from. The tapered shape of the plug acts like a cork in a bottle to keep the hernia from coming back. One to two sutures are used to hold the plug in place. Another piece of mesh is placed over the plug to help prevent future hernias in this area of weakened tissue.
Patients are typically admitted on an outpatient basis and released from the hospital within one to two hours after surgery. Post-operative pain is minimal in most patients and they typically return to their normal activities within only three days. Your surgeon will advise you appropriately. Like any surgery, there is always a chance for complications, like infection or hernia recurrence. Your physician will discuss these with you prior to surgery.
Conventional Tissue-to-Tissue Technique
To repair a hernia using the conventional tissue-to-tissue method, an incision is made over the hernia site and the hernia is returned to the abdomen. The surgeon repairs the hole by pulling the surrounding tissue and muscle over the defect. Several sutures are used to hold the muscle in place. No mesh is used in this repair. This is method is "conventional" is it reflects how hernias were initially repaired. This repair is common in children because they are constantly growing and mesh would not grow with them.
Operating time and typical recovery periods are longer than the other methods mentioned, and return to normal activities is approximately four to six weeks after surgery.