How to do a uterine flap as a novel way to repair recurrent obstructed obturator hernia in an elderly female patient

Greve, Tom J. De; Webb, Peita M.; Yuide, Peter J.; Muduioa, Geoff

doi:10.1111/ans.15614

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…A case series from Tokyo Metropolitan Geriatric Hospital reported use of uterus to repair hernia defect in 20 patients from 1968 to 1999 [11]. A recent article described the technique of a uterine flap as a novel way to repair an obstructed obturator hernia [12]. A recent systematic review has reported recurrence rates after mesh repairs at 2%, compared to 4% for patients where a tissue patch has been performed, and 10% for suture repair [13].…”

Section: Discussionmentioning

confidence: 99%

Novel use of a uterine patch repair of an obstructed obturator hernia

Nicol

2023

JCIMCR

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Section: Discussionmentioning

confidence: 99%

Novel use of a uterine patch repair of an obstructed obturator hernia

Nicol

2023

JCIMCR

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A case report and a contemporary review of incarcerated and strangulated obturator hernia repair

Figueiredo¹,

Tastaldi²,

Mao³

et al. 2021

International Journal of Abdominal Wall and Hernia Surgery

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BACKGROUND: Obturator hernia (OH) usually presents as a surgical emergency, with open primary repair most commonly performed. Given the morbidity and high recurrence of this approach, we present a case and review the literature to evaluate the influence of the operative approach on OH repair. METHODS: A literature search via PubMed was performed. Inclusion criteria were studies that: (1) were written in English and published within 10 years; (2) included as keywords “obturator hernia” and/or “incarcerated” and/or “strangulated”; (3) reported the operative approach; and (4) reported postoperative outcomes. RESULTS: Overall, 225 studies were identified, and 53 met the inclusion criteria. Data from 425 patients were pooled. Open repair without mesh was performed in 239 (56.2%) patients, 121 (28.5%) had open repair with mesh, 44 (10.4%) had laparoscopic repair with mesh, and 21 (4.9%) had laparoscopic repair without mesh. Open repair had a mean hospital length of stay (LOS) of 13.4 days, 40.3% postoperative complications, and 9.7% 30-day mortality rate whereas laparoscopic repair had a mean LOS of 7.9 days, 3.1% postoperative complications, and no deaths. Small bowel resection (SBR) was performed in 44.7% of open and 15.4% of laparoscopic repairs. Patients with SBR demonstrated higher morbidity and mortality compared with patients without SBR. In patients without SBR, laparoscopy had advantages over open surgery in LOS, complications, and mortality rate. The overall recurrence rate was 7.7%, with a mean follow-up of 20.4 months. One (0.7%) recurrence was reported in mesh repair, whereas 28 (12.1%) recurrences were reported with tissue repair. CONCLUSION: OHs are the most common open repair without mesh. Our literature review showed that laparoscopic OH repair is associated with enhanced postoperative recovery and the use of mesh was associated with less recurrence. Further studies are still necessary to determine the optimal approach for OH repair, but laparoscopic repair with mesh should be performed when possible.

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How to do a uterine flap as a novel way to repair recurrent obstructed obturator hernia in an elderly female patient

Abstract: Here, we present a novel surgical technique to repair an obturator hernia with a uterine flap. The description is both written and in video format.

Cited by 2 publications

References 2 publications

Novel use of a uterine patch repair of an obstructed obturator hernia

Novel use of a uterine patch repair of an obstructed obturator hernia

A case report and a contemporary review of incarcerated and strangulated obturator hernia repair

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