Sciatic hernia: laparoscopic transabdominal extraperitoneal repair with plug and patch

Abstract

Sciatic hernia is a rare pelvic floor hernia that occurs through the greater or lesser sciatic foramen. Sciatic hernias often present as pelvic pain, particularly in women, and diagnosis can be difficult. Transabdominal and transgluteal operative approaches, including laparoscopic repair, have been reported. We show a laparoscopic technique using a plug of human allogeneic dermal matrix and lightweight polypropylene extraperitoneal patch avoiding fixation. The patient had significant improvement of her symptoms and no complications at 12 months follow-up.

Robot Assisted Laparoscopic Repair of Sciatic Hernia (RASH): A Case Report

“…[12] In the present case a preoperative diagnosis of sciatic hernia was not apparent on the CT scan due to (a) the relatively small size of the hernia; (b) Symptomatic SH should generally be explored, reduced and repaired, however some surgeons recommend leaving the sac in situ and filling it with omentum, muscle (local tissue) or mesh. Various surgical approaches have been reported in the literature, from open laparotomy, abdominoperineal/trans-gluteal approach, to laparoscopy and minimally invasive approach to repair of SH [13]. The hernial defect can be repaired with a mesh, non-absorbable sutures, and reinforced with a peritoneal flap [14] or omentum [5].…”

Sciatic Hernia Mimicking Perianal Abscess in a Cirrhotic Patient

“…Moreover, a laparoscopic approach was used in 21% of cases [1, 3, 4]. The transabdominal is preferred when there is a suspicion of small bowel incarceration or strangulation [5].…”

“…The transabdominal is preferred when there is a suspicion of small bowel incarceration or strangulation [5]. Besides the small bowel, in patients without liver diseases, the hernia may contain ovary, bladder, ureter, colon, or appendix [3]. On the other hand, in cases of cirrhotic patients, the content is mostly ascites [6].…”

Sciatic hernia clinically mimicking obturator hernia, missed by ultrasonography: case report

“…USG, however, was not helpful in delineating the cause of SBO. Laparoscopic transabdominal extraperitoneal repair with plug and patch was performed by Bernard et al [9] in a case of sciatic hernia diagnosed before the laparoscopic procedure. The patient was an 80-year-old female with a one-year history of chronic right lower limb pain not responding to the conventional analgesics.…”