Due to the risk of strangulation, all adult femoral, inguinal and umbilical hernias should be dealt with surgically, as should femoral and inguinal hernias found in babies and children. The majority of umbilical hernias found in babies will correct themselves without surgical intervention by the time they are about 3 years old; however, in some case, surgery may be required after this age to strengthen the area of the hernia.
Most hernias are repaired using laparoscopic techniques, where surgery is performed through a number of small incisions in the abdomen wall. The hernia and its contents are returned to their rightful place and the split or hole through which they escaped is sewn up. Great care must be taken after surgery to avoid strenuous exercise and lifting for at least the first few weeks.
In the past, a truss or corset may have been worn to hold the hernia in and to relieve discomfort. However, this device is rarely used these days, usually only when surgery needs to be delayed or is not possible. A truss should never be worn to support a femoral hernia as it can lead to a strangulated hernia.
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