Impacted obturator hernia treated successfully with a Kugel repair: Report of two cases

Murai, Shinji; Akatsu, Tomotaka; Yabe, Nobushige; Inoue, Yūta; Akatsu, Yukako; Kitagawa, Yuko

doi:10.1007/s00595-008-3922-4

Cited by 13 publications

(9 citation statements)

References 15 publications

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“…Furthermore, obturator hernias occur approximately six times more often in women than in men because of the broader pelvis and larger lumen of the obturator foraman. 7 Alvarez et al reported right-sided inguinal and femoral hernias to be more common than left-sided ones, 5 but there was no signifi cant difference between the incidences of right-sided and left-sided hernias in the incarcerated hernias in the current study.…”

Section: Discussioncontrasting

confidence: 45%

Clinical study of inguinal and femoral incarcerated hernias

Tanaka¹,

Uchida²,

Ogihara³

et al. 2010

Surg Today

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Purpose. Inguinal and femoral hernias are common disorders associated with aging. Incarcerated external hernias, however, are often fatal. This study investigated the prognostic factors in patients with incarcerated hernias. Methods. The study reviewed 38 patients (aged 35-97 years) diagnosed with incarcerated hernias who underwent emergency surgery. The patients were divided into those with or without a small intestinal resection, and they were then analyzed according to time from onset of symptoms to surgery. Results. The time from symptom onset to surgery was signifi cantly longer in the resection group than in the group without resection. The patients were divided into those treated within or after 12 h using a receiveroperating characteristic curve. A sensitivity of 71.4% and a specifi city of 83.4% were obtained using the time from symptom onset to operation of 12 h as a cutoff value. More patients who underwent surgery after 12 h from the onset of symptoms required an intestinal resection. Patients who underwent surgery later than 12 h after the onset of symptoms also stayed in the hospital longer than those operated on within 12 h. Conclusions. The amount of time that elapses from the onset of symptom to surgery is considered to be an important prognostic factor in patients with incarcerated hernias. Early diagnosis and early treatment are therefore necessary in such patients.

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Section: Discussioncontrasting

confidence: 45%

Clinical study of inguinal and femoral incarcerated hernias

Tanaka¹,

Uchida²,

Ogihara³

et al. 2010

Surg Today

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“…Strangulated hernias have been deemed to be an absolute contraindication for the use of a prosthetic mesh [2]. Some groups, however, have reported that a strangulated groin hernia can be repaired safely with a prosthetic mesh [2][3][4][5][6][7]. There is no consensus on the use of prostheses in potentially infected operating fields (after intestinal resection) [8].…”

Section: Introductionmentioning

confidence: 97%

Prosthetic repair of an incarcerated groin hernia with small intestinal resection

et al. 2011

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“…21 Most reports describe use of the Kugel patch or flat meshes. 20,22,23 Mesh plug repair may worsen obturator neuralgia because the device shrinks and forms a rigid prosthetic tumor. 24 Therefore, we routinely use flat meshes, such as Bard mesh (CR Bard Inc., Murray Hill, NJ, USA) or ULTRAPRO TM (Ethicon, Somerville, MA, USA), that we can trim to fit the preperitoneal space and cover other hernias simultaneously.…”

Section: Discussionmentioning

confidence: 99%

Midline Extraperitoneal Approach for Obturator Hernia Repair

et al. 2018

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Obturator hernia (OH) is a rare condition that accounts for 0.073-1% of abdominal hernias and 0.48% of bowel obstructions. OH frequently occurs in elderly women, with an incidence that increases with age. The only treatment for OH is surgical intervention, and the approaches used vary greatly. Consequently, a well-defined consensus has not yet emerged. We assessed the efficiency and safety of the midline extraperitoneal approach for OH. Six patients with OH repaired using the midline extraperitoneal approach at KKR Sapporo Medical Center between April 2011 and January 2016 were included in the study. We retrospectively evaluated the patient characteristics, intraoperative findings, and the postoperative course. All patients were elderly women [median age, 90 (range, 79-92) years], with a median body mass index of 17.0 (range, 15.6-18.3) kg/m 2 at presentation. All had symptoms associated with bowel obstruction: two patients presenting with leg pain had the Howship-Romberg sign. In two patients, bowel resection was required because of irreversible ischemic changes. Five patients had coexisting femoral and inguinal hernias that were repaired by bilateral mesh repair. One patient had aspiration pneumonia as a postoperative complication. All patients were discharged alive, without infection or recurrence. OH can be efficiently and safely repaired using the midline extraperitoneal approach. This approach establishes the diagnosis of OH, avoids injuring obturator vessels, gives improved exposure of the obturator canal, enables identification and simultaneous repair of other pelvic hernias, and facilitates bowel resection. This approach reduces the risk of mesh infection in patients undergoing bowel resection.

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Impacted obturator hernia treated successfully with a Kugel repair: Report of two cases

Cited by 13 publications

References 15 publications

Clinical study of inguinal and femoral incarcerated hernias

Clinical study of inguinal and femoral incarcerated hernias

Prosthetic repair of an incarcerated groin hernia with small intestinal resection

Midline Extraperitoneal Approach for Obturator Hernia Repair

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