The feasibility of laparoscopic management of incarcerated obturator hernia

Liu, Jing; Zhu, Yong; Shen, Yingmo; Liu, Sujun; Wang, Minggang; Zhao, Xinshu; Nie, Ying; Chen, Jie

doi:10.1007/s00464-016-5016-5

Cited by 34 publications

(36 citation statements)

References 18 publications

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“…Recent reports have revealed that a laparoscopic approach is safe and feasible for OH . In comparison to laparotomy, the laparoscopic approach for treating a small bowel obstruction is associated with a quicker recovery of gastrointestinal function, a shorter length of hospitalization, and fewer postoperative complications .…”

Section: Discussionmentioning

confidence: 99%

“…The incarcerated hernia can be laparoscopically reduced through gentle traction or water pressure, as well as with laparotomy . Moreover, other hernias on the contralateral side can be explored using a laparoscopic approach; a study reported that contralateral OH was found in 60% of patients with OH .…”

Section: Discussionmentioning

confidence: 99%

“…Recent reports have revealed that the laparoscopic approach is safe and feasible for OH , and this less invasive approach may be applied more broadly in the future. However, the laparoscopic approach has a few disadvantages, such as pneumoperitoneum or longer operating time.…”

Section: Introductionmentioning

confidence: 99%

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Incarcerated obturator hernia treated using a hybrid laparoscopic and anterior preperitoneal approach: A case report

Yamazaki¹,

Otowa²,

Kusano³

et al. 2018

Asian J Endoscop Surgery

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Obturator hernia (OH) is a rare cause of bowel obstruction. Although several surgical approaches, including the laparoscopic approach, have been reported to date, a standard approach for treating OH has not been established. A 101-year-old woman who presented with constipation and vomiting was admitted to our hospital. CT revealed an incarcerated small bowel within the left obturator foramen, and a diagnosis of left-sided incarcerated OH with small bowel ileus was made. With the patient under general anesthesia, exploratory laparoscopy was performed; we identified an OH with an incarcerated small bowel, which was judged viable after hernia reduction. We repaired the hernia using an anterior preperitoneal approach under laparoscopic assistance and placed a prosthetic mesh over the obturator foramen. The patient recovered with no postoperative complications and was discharged on postoperative day 4. A hybrid laparoscopic and anterior preperitoneal approach is safe and effective for treating an incarcerated OH in an elderly patient.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Incarcerated obturator hernia treated using a hybrid laparoscopic and anterior preperitoneal approach: A case report

Yamazaki¹,

Otowa²,

Kusano³

et al. 2018

Asian J Endoscop Surgery

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“…OH, accounts for 0.07-1.4% of all abdominal hernias. It has been known as a disease of elderly and skinny women (8)(9)(10)(11). It occurs more frequently in the right side (2,5,10).…”

Section: Introductionmentioning

confidence: 99%

“…It was first described in 1724 by Arnould de Ronsil (5,8). Low body mass index (BMI) and multiparity can be named among predisposing factors (1,9). Symptoms and physical examination findings are not specific.…”

Section: Introductionmentioning

confidence: 99%

A Rare Cause of Small Bowel Obstruction: Incarcerated Obturator Hernia

Tayar¹,

Uluşahin²,

Çekiç³

et al. 2019

Haseki

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Obturator hernia (OH) is a rare type of hernia caused by protrusion of the pelvic contents through the obturator foramen. It usually affects elderly, debilitated women. Patients may present with the symptoms of mechanical intestinal obstruction. Delayed diagnosis or misdiagnosis is frequent due to non-specific signs and symptoms. In this paper, we present the case of OH in two patients. Both patients were admitted to the emergency department with the symptoms of ileus. Incarcerated OH diagnosis was made after evaluations. One of the patients, who underwent emergency surgery, had necrosis and small intestine resection was performed. OH, defect was repaired in both patients and serious postoperative complications developed. OH, is a clinical condition associated with high morbidity and mortality in incarcerated cases. There are many open and laparoscopic methods in treatment. Early diagnosing may be life-saving.

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