obturator hernia repair

Log in with Facebook Log in with Google. Obturator hernias are approached abdominally and can be repaired laparoscopically.

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Methods The authors report on two cases of mechanical bowel obstruction due to incarcerated obturator hernia in elderly thin women.

. Here we present a novel surgical technique to repair an obturator hernia with a uterine flap. The obturator hernia was first described at the Royal Academy of Sciences of Paris by Pierre Roland Arnaud de Ronsil in 1724. History and etymology Howship-Romberg sign is named for the German neurologist Moritz Heinrich Romberg 1795-1873 5 and British surgeon John Howship 1781-1841 4.

The hernia was successfully repaired laparoscopically without any need for small bowel resection. Obturator hernias are rare and most cases present as incarcerated hernias. Remember me on this.

Laparoscopic hernia repairs are becoming more prevalent with a number of reports of obturator hernia being repaired via a minimally-invasive approach 45. The aim of this paper is to present a simple method for obturator hernia repair in two cases with strangulated obturator hernia. There was some edema in the incarc hernia with some omentum.

With this approach both intestinal resection and anastomosis could be performed through the same Kugel incision without the need for an additional skin incision. Between January 2012 and October 2019 1028 adults underwent surgical repair of abdominal wall hernia at the Department of Surgery Kyungpook National University Hospital. Two cases of obturator hernias in nonagenarians are reported and a new simple.

Delayed diagnosis frequent complications leads to significant mortality. Laparoscopic Obturator Hernia Repair. There was a 1cm Obturator Hernia Procedure Details.

The present study analyzed the clinical manifestations diagnostic methods and operative treatment outcomes in patients with obturator hernia. Computed tomography of the abdomen and pelvis showed a fluid-filled segment of small intestine between the left obturator externus and pectineus muscles Figure 1. Incarc Obturator Hernia Procedure.

The double-layer repair with interrupted and purse-string nonabsorbable sutures could be useful especially in emergency laparotomies for incarcerated obturator hernia. 40 Currently these rare defects represent only 005 to 14 of all hernias encountered by clinicians. Given the location of this hernia deep within the pelvis a laparoscopic approach allows for clear visualisation of the contents of the hernia and subsequent treatment.

Often the diagnosis is reached only at laparotomy for small bowel obstruction. Given the location of obturator hernia deep within the pelvis a laparoscopic approach allows for clear visualisation of the contents of the hernia and subsequent treatment. Timely diagnosis and operative intervention for obturator hernia is the cornerstone of management.

Several methods of dealing with the hernial defect have been described. Download figure Open in new tab. Obturator hernia is a rare condition with few reports in the world literature.

Clinical analysis of 16 cases and algorithm for its diagnosis and treatment. They can be repaired either transabdominally or extraperitoneally by the conventional open method or a laparoscopic approach. If the hernia content is difficult to reduce incision of.

The inguinal approach was selected and primary repaired with mesh in 14 operations 100. The SB was pretty normal. The SB had reduced.

Thus safe and adequate intestinal resection is essential for the repair of obturator hernias. Here we present a case where a timely diagnosis and prompt surgical repair of an obturator hernia led to an uneventful and uncomplicated postoperative course. She was discharged on postoperative day 2 with an uneventful recovery and zero complications.

Both patients presented with clinical and radiological signs of small bowel obstruction. Obturator hernia is rare pelvic hernia difficult to diagnose clinically because of non specific symptoms and obscure physical findings. The patient recovered uneventfully.

Obturator hernia repair a new technique. We made a diagnosis of obturator hernia and performed emergency surgery using an inguinal approach. The recurrence rate at 3 years after the initial obturator hernia surgery was 51 359 cases.

Bowel obstruction strangulation resulting in perforation Treatment and prognosis Treatment involves surgery and repair of the hernial orifice. 4147 An obturator hernia occurs when intraabdominal viscera or. This case report highlights the importance of rapid diagnosis and repair of obturator hernia even in the setting of an improving clinical picture.

Use of computerised tomography in diagnosis and early repair either suture based or mesh placement depending on circumstances is. The average hospital length of stay was 162 days with a mortality rate of 278. 39 More than 100 years later Obre performed the first successful repair.

We report a simple quick technique via a lower midline incision using an autogenous peritoneal fold. Eleven patients underwent urgent laparotomy and six laparoscopic repairs. The mean operative time was 1010 min.

We report our technique of transabdominal laparoscopic direct repair using a running barbed suture in 2 cases. Society of American Gastrointestinal and Endoscopic Surgeons SAGES Society of American. Case presentation An 89-year-old caucasian female presented to the emergency department at an outside hospital with a 12-hour history of right medial thigh pain that radiated to the right buttocks and down.

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The mean duration from the appearance of symptoms to surgery was 75 days range 30365. Laparoscopic Obturator Hernia Repair incarcerated Findings. Obturator hernia is rare and difficult to diagnose.

There appears to be no consensus on the ideal approach and repair for such a condition. Laparoscopic hernia repairs are becoming more prevalent with a number of reports of obturator hernia being repaired via a minimally-invasive approach.

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