Fifteen-year experience in managing obturator hernia: from open to laparoscopic approach

Abstract

Laparoscopic repair can achieve a shorter hospital stay and has lesser major complications and mortality in selected patients.

Incarcerated obturator hernia-laparoscopic repair with intraoperative view of the corona mortis

“…For the treatment of an obturator hernia, open and laparoscopic approaches have been described [5, 6]. The advantages of laparoscopic versus open abdominal surgery, namely less post-operative pain, earlier oral intake, shorter hospitalization, fewer risk of an incisional hernia and smaller wounds are well known.…”

İnce Barsak Tıkanıklığının Nadir Bir Sebebi: Obturator Herni

“…Obturator hernia, also called ''the skinny old lady hernia,'' is an uncommon hernia usually occurring in elderly women, which usually presents with intestinal obstruction 4 . It is six times more common in women due to the wider and more obliquely inclined female pelvis, the larger transverse diameter of the obturator foramen, and pregnancies 4 .…”

“…It is six times more common in women due to the wider and more obliquely inclined female pelvis, the larger transverse diameter of the obturator foramen, and pregnancies 4 . Right-side obturator hernia is more common 4 , possibly because of the sigmoid colon lying in front of the obturator foramen on the left side. Clinical findings include intermittent abdominal pain and repeated episodes of bowel obstruction that resolve without intervention 3 .…”

“…Majority of patients (nearly 90%) present with intestinal obstruction despite absence of a previous operation 4 . A pubmed search using the keyword "obturator hernia" revealed 529 articles, the majority of which were case reports.…”

Rare case of incarcerated obturator hernia: Case report and review of literature

“…Early diagnosis and surgical treatment are imperative and the delay is associated with a high mortality rate, increased complications rates and increased post-operative length of stay. The treatment can be made by the conventional laparotomy or by videolaparoscopy [4], [5]. The following accomplishes the SCARE criteria [6].…”