CPT® Code 49553

An initial femoral hernia repair is a surgical procedure performed on patients of any age to address a femoral hernia, which occurs when tissues protrude through a weakness in the groin area into the upper thigh. This condition can lead to complications if not treated promptly. The procedure is specifically indicated for incarcerated or strangulated hernias. An incarcerated hernia is characterized by contents of the hernia sac that cannot be returned to their normal position, while a strangulated hernia involves compromised blood circulation to the affected tissues, posing a risk of tissue death. The surgical approach involves making an incision in the thigh below the inguinal ligament, allowing access to the femoral canal where the hernia is located. The repair process includes careful dissection to expose the hernia sac, inspection of its contents, and ultimately, the return of the bowel and omentum to the abdominal cavity. The hernia sac is then ligated and removed, with the inguinal ligament sutured to Cooper's ligament to reinforce the area. In some cases, a mesh plug may be utilized to provide additional support and reduce the risk of recurrence.