Is the Laparoscopic Approach Feasible for Reduction and Herniorrhaphy in Cases of Acutely Incarcerated/Strangulated Groin and Obturator Hernia?: 17-Year Experience from Open to Laparoscopic Approach

Chihara, Naoto; Suzuki, Hideyuki; Sukegawa, Makoto; Nakata, Ryosuke; Nomura, Tsutomu; Yoshida, Hiroshi

doi:10.1089/lap.2018.0506

Cited by 33 publications

(41 citation statements)

References 26 publications

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“…The only treatment for obturator hernia is surgery. A laparoscopic approach may be more beneficial for patients, especially in the elderly, given that fewer postoperative complications are seen with laparoscopic repair [ 11 , 12 ]. A retrospective study demonstrated that emergency laparoscopic groin hernia repair has a lower morbidity in comparison with open repair in the setting of acute strangulated groin hernias [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Obturator hernia: a case report

2021

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Background Obturator hernia is rare and accounts for less than 1% of all abdominal wall hernias. It represents a diagnostic challenge due to its nonspecific signs and symptoms. Case presentation We present a case of an 89-year-old caucasian female with a 12-hour history of right medial thigh pain. Computed tomography scan revealed a right obturator hernia with small bowel obstruction. The hernia was successfully repaired laparoscopically without any need for small bowel resection. She was discharged on postoperative day 2 with an uneventful recovery and zero complications. Conclusion This case report highlights the importance of rapid diagnosis and repair of obturator hernia even in the setting of an improving clinical picture. It also demonstrates the safety of laparoscopic repair in this setting.

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Section: Discussionmentioning

confidence: 99%

Obturator hernia: a case report

2021

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“…Fifth, one patient had a strangulated inguinal hernia with herniation of the small intestine, appendix and ascending colon (type IV Amyand hernia based on Losanoff’s classification[ 23 ]). Perforation of herniated bowel is not well documented, but Chihara et al reported a 9.4 % rate of large bowel incarceration for inguinal hernia in adults, and a 7.5 % rate for overall bowel perforation [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Etiology and surgical management of pediatric acute colon perforation beyond the neonatal stage

Tan¹,

Wang²,

Pang³

et al. 2021

BMC Surg

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Purpose Acute colon perforation is a pediatric surgical emergency. We aimed to analyze the different etiologies and clinical characteristics of acute non-traumatic colon perforation beyond the neonatal period and to identify surgical management and outcomes. Methods This retrospective study included 18 patients admitted with acute colon perforation and who received surgical treatment. Results Age of patients ranged between 1 month and 15 years. Five patients swallowed foreign objects (two swallowed magnets), two had colon perforation secondary to a malignant tumor (both colorectal adenocarcinoma) and two were iatrogenic (one prior colonoscopy, one air enema for intussusception). There was one perforation due to chemotherapy and Amyand’s hernia respectively. The remaining seven patients had unknown etiologies; five of them were diagnosed with colitis. Fifteen (83.3 %) patients underwent open laparotomy, among which four attempted laparoscopy first. Three (16.7 %) patients underwent laparoscopic surgery. Fourteen (77.8 %) patients received simple suture repairs and four (22.2 %) received colonic resections and anastomosis. Four (22.2 %) patients received a protective diverting colostomy and three (16.7 %) received an ileostomy. Conclusions There is a wide range of etiology besides necrotizing enterocolitis and trauma, but a significant portion of children present with unknown etiology. Type of surgery elected should be dependent on the patient’s etiology, disease severity and experience of surgeons.

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“…There is no clear consensus on the best surgical approach for repairing strangulated groin hernias, but many reports have demonstrated laparoscopic repair as a safe option. Matsuda et al [4] performed a retrospective review of patients with acute strangulated hernia who either underwent open anterior repair or laparoscopic TAPP repair. There were no recurrences in either group, and complication rates were similar.…”

Section: Discussionmentioning

confidence: 99%

“…The other reason relates to the risk of leaving prosthetic material in a potentially infected field, therefore increasing surgical site infection risk and warranting open tissue repair [3] . Despite this dogma, laparoscopic repair with mesh has been documented as a safe approach for strangulated groin hernias [4][5][6][7][8] . However, there are no robust data to support this.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic mesh repair of strangulated groin hernias requiring bowel resection

Smith¹,

Bilezikian²,

Hope³

et al. 2021

MIS

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No robust data support laparoscopic mesh repair in strangulated groin hernias. This is a retrospective review over 6 years of a single surgeon's experience treating strangulated groin hernias using the laparoscopic trans-abdominal preperitoneal mesh repair with concomitant bowel resection through a periumbilical incision. Nine patients presented with incarceration of 2 inguinal and 7 femoral hernias. The median age was 83 years (IQR 68, 85). One patient was male, all were Caucasian, and 5 were ASA 3-4. The median hospital length of stay was 6 days (IQR 4, 7). There were no known hernia recurrences or mesh infections at 30 days. Laparoscopic repair necessitates mesh placement, and doing so in a clean-contaminated setting is acceptably low risk. Laparoscopy permits better assessment of bowel viability compared to open repair and enables mesh coverage of both the inguinal and femoral spaces.

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Is the Laparoscopic Approach Feasible for Reduction and Herniorrhaphy in Cases of Acutely Incarcerated/Strangulated Groin and Obturator Hernia?: 17-Year Experience from Open to Laparoscopic Approach

Cited by 33 publications

References 26 publications

Obturator hernia: a case report

Obturator hernia: a case report

Etiology and surgical management of pediatric acute colon perforation beyond the neonatal stage

Laparoscopic mesh repair of strangulated groin hernias requiring bowel resection

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