Laparoscopic Repair Using Self-Fixating Mesh in an Adult Patient with a Sciatic Hernia and Irreducible Small Bowel: A Case Report and Literature Review

Abstract

Sciatic hernia is a rare type of pelvic floor hernia. The hernia contents can include the ureter, small and large bowel, or ovary, among others. Only a few cases of laparoscopic treatment for a sciatic hernia with small bowel incarceration have been reported.We report our experience using a laparoscopic approach for the treatment of a sciatic hernia in an 83-year-old woman and present a review of previous reports to characterize sciatic hernias more clearly. The patient was referred to our hospital complaining of constipation and abdominal bloating. A computed tomography (CT) examination showed a right sciatic hernia containing the small bowel. Laparoscopic repair of the sciatic hernia was performed using a self-fixating mesh. The patient was discharged after an uneventful postoperative course. The patient has not experienced abdominal bloating or constipation since the surgery. This case report describes the successful repair of a sciatic hernia using a laparoscopic trans-preperitoneal approach and the ProGrip™ Self-Fixating Mesh.