Laparoscopic Views of Obturator Hernia

Wada, Yohnosuke; Ohtsuka, Hideo; Adachi, Kensuke

doi:10.1007/s11605-015-2881-5

Cited by 6 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Last, laparoscopic management is considered as a better method in exploring and operating for the presence of occult lesions on the contralateral side. 18,20,21 In our study, the feasibility and potential advantages of laparoscopic management over the open approach was demonstrated again. The bleeding amount for laparoscopic versus open surgery was 3.6 ± 1.2 and 20.5 ± 8.5 mL (P < 0.01), and the postoperative hospital stay was 6.3 ± 1.3 and 9.4 ± 2.2 days (P < 0.01), respectively.…”

Section: Discussionsupporting

confidence: 52%

“…Moreover, the laparoscopic evaluation of the viability of the incarcerated organs was very reliable. Last, laparoscopic management is considered as a better method in exploring and operating for the presence of occult lesions on the contralateral side 18,20,21. In our study, the feasibility and potential advantages of laparoscopic management over the open approach was demonstrated again.…”

Section: Discussionmentioning

confidence: 57%

See 1 more Smart Citation

The Feasibility and Potential Advantages of Laparoscopic Management of Incarcerated Obturator Hernia Over the Open Approach

Zhang

Yuan²,

Gu³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

The purpose of this study was to explore the feasibility and potential advantages of laparoscopic surgery in the treatment of incarcerated obturator hernia (IOH).Materials and Methods: Clinical data of 23 patients with IOH who underwent emergency surgery at our hospital from June 2015 to October 2020 were retrospectively analyzed. The clinical characteristics and surgery outcomes were compared between the laparoscopic group, open group, and the previously published data.Results: Twelve patients with IOH were treated by laparoscopic management, while 11 patients with IOH underwent open surgery. There was no statistically significant difference in preoperative general data between the 2 groups, while the laparoscopic group had less intraoperative blood loss, shorter postoperative hospital stay, and lower postoperative complications compared with open group. Furthermore, when compared with the open group reported in previous literature, which showed similar conclusions. Conclusion:Laparoscopic surgery for IOH showed more favorable advantages including less intraoperative blood loss, shorter postoperative hospital stay, and lower postoperative complications compared with an open approach, which is a safe and feasible minimally invasive strategy and has certain advantages.

show abstract

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 57%

The Feasibility and Potential Advantages of Laparoscopic Management of Incarcerated Obturator Hernia Over the Open Approach

Zhang

Yuan²,

Gu³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

“…Endoscopic surgery has the advantages of less trauma and postoperative pain, and rapid recovery of digestive tract function. Many studies have focused on the application of endoscopic surgery for OH ( 14 ). However, because most patients with OH have an acute intestinal obstruction, perforation, necrosis, or peritonitis, emergency laparotomy is still the main treatment for OH.…”

Section: Discussionmentioning

confidence: 99%

Case report: Obturator hernia: Diagnosis and surgical treatment

Cao

Kong

2023

Front. Surg.

View full text Add to dashboard Cite

BackgroundObturator hernia (OH) is a rare external abdominal hernia, accounting for only 0.07%–1% of all hernia cases. Because the female pelvis is wider and there is less preperitoneal adipose tissue, the obturator canal is larger, which can lead to herniation of abdominal contents when abdominal pressure increases in elderly women with thin body. The clinical symptoms of patients with obturator hernia included abdominal pain, nausea, vomiting, etc., and the mass in the inguinal region could not be touched. The positive Howship-Romberg sign is a specific sign of OH. CT is the first choice for the diagnosis of obturator hernia. Since intestinal incarceration in OH patients is prone to lead to intestinal necrosis, emergency surgical treatment is often required. However, due to the lack of specificity of its clinical manifestations, the misdiagnosis rate is high, which often leads to the delay of diagnosis and treatment.MethodsWe report the case of an 86-year-old woman with a thin body and a history of multiple deliveries. The patient presented with abdominal pain, bloating, and constipation for 5 days. Physical examination revealed a positive Howship-Romberg sign on the right side, and CT examination suggested intestinal obstruction. Therefore, an urgent exploratory laparotomy was performed.ResultsAfter opening the abdominal cavity we found that the wall of the ileum was embedded in the right obturator, and the proximal bowel was significantly dilated. We restored the embedded bowel wall to its original position, resected the necrotic bowel and performed an end-to-end anastomosis of the small intestine. The right hernia orifice was sutured, and OH was diagnosed during the operation.ConclusionThis article summarizes the diagnosis and treatment of OH by sharing this case, so as to provide a more detailed plan for early diagnosis and treatment of OH.

show abstract