scholarly journals Preperitoneal approach via a lower abdominal median incision for obturator hernia

2013 ◽  
Vol 74 (3) ◽  
pp. 632-635
Author(s):  
Hiroyuki KUMATA ◽  
Keisuke ONISHI ◽  
Saijiro MURAYAMA ◽  
Yoshihiro NIHEI ◽  
Yukio IGARASHI ◽  
...  
Keyword(s):  
Obturator Hernia ◽  
Preperitoneal Approach ◽  
Median Incision

scholarly journals Effective Treatment for Incarcerated Obturator Hernia With Bowel Dilatation by Combined Laparoscopy and Preperitoneal Approach: A Case Report

2020 ◽  
Vol 104 (3-4) ◽  
pp. 155-158
Author(s):  
Mizunori Yaegashi ◽  
Chihiro Tono ◽  
Yukihiro Minagawa ◽  
Hideki Ishioka ◽  
Yuya Nakamura ◽  
...  
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Clinical Symptoms ◽  
Obturator Hernia ◽  
Preperitoneal Space ◽  
Preperitoneal Approach ◽  
Incarcerated Obturator Hernia ◽  
Median Incision ◽  
Space Approach

Background: We report a case of a 90-year-old woman with intestinal obstruction due to left-sided incarcerated obturator hernia, which was revealed using computed tomography. Methods: Emergency surgerywas performed using laparoscopy, which showed a dilated small intestine and bilateral obturator hernia in the intraperitoneal space. After reducing incarceration of the small intestine using laparoscopy, we approached the bilateral preperitoneal space and inserted a Kugel patch via a small lower abdominal median incision (approximately 4 cm). Results: The patient was discharged on postoperative day 10 and showed no recurrence at the 18-month follow-up. Although relatively rare, obturator hernia can significantly cause intestinal obstruction. It has no specific clinical symptoms and is thus often difficult to diagnose. Treating obturator hernia is essential; however, mesh infection, recurrence, and opposite side of the obturator hernia should be carefully monitored. Conclusions: Although laparoscopy is used for treating obturator hernia, it may be difficult in patients with intestinal obstruction. In this case, a surgical technique combining laparoscopy and preperitoneal space approach via a small lower abdominal median incision was used to effectively treat an incarcerated occult bilateral obturator hernia.

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

2018 ◽  
Vol 11 (3) ◽  
pp. 277-279 ◽  
Author(s):  
Yuta Yamazaki ◽  
Yasunori Otowa ◽  
Shunsuke Kusano ◽  
Koichi Nakajima ◽  
Shinsuke Satake ◽  
...  
Keyword(s):  
Case Report ◽  
Obturator Hernia ◽  
Preperitoneal Approach ◽  
Incarcerated Obturator Hernia

scholarly journals A Review of 11 Cases of Obturator Hernia Repaired with Synthetic Mesh Using an Extra-Preperitoneal Approach

2011 ◽  
Vol 44 (7) ◽  
pp. 921-927 ◽  
Author(s):  
Junichi Yoshizawa ◽  
Katsuhiko Ishizaka ◽  
Manabu Nakamura ◽  
Hitoshi Shibata
Keyword(s):  
Synthetic Mesh ◽  
Obturator Hernia ◽  
Preperitoneal Approach

scholarly journals OV13 LAPAROSCOPIC APPROACH IN EMERGENCY HERNIA SURGERY: MANAGEMENT OF ACUTE SMALL BOWEL OBSTRUCTION SECONDARY TO STRANGULATED OBTURATOR HERNIA

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Javed Latif ◽  
Imran Bhatti ◽  
Altaf Awan
Keyword(s):  
Small Bowel ◽  
Minimally Invasive ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Laparoscopic Approach ◽  
Obturator Hernia ◽  
Linear Segment ◽  
Invasive Approach ◽  
Preperitoneal Approach ◽  
Acute Small Bowel Obstruction

Abstract Aim Acute small bowel obstruction secondary to strangulated obturator hernia is a rare condition, with high rates of morbidity and mortality in the absence of prompt diagnosis and intervention. We aim to describe a case with the above presentation, managed using a minimally-invasive approach with positive outcomes. Material and Methods We describe a case of an 82-year-old female who presented with acute small bowel obstruction secondary to strangulated obturator hernia on cross-sectional imaging. Results The patient underwent emergency surgery using laparoscopic approach for repair of obturator hernia and assessment of obstructed small bowel. Our approach involved identification and reduction of small bowel loop. A transabdominal preperitoneal approach was made to obturator hernia and ischaemic sac was reduced followed by closure of defect with a plug of biologic mesh. A linear segment of ischaemic small bowel was oversewn. Total operative time was 90 minutes. Conclusions Minimally-invasive surgery is an important tool in the armamentarium of the acute care surgeon. A laparoscopic approach will reduce the insult of intervention in already physiologically deplete patients. This case demonstrates the feasibility of laparoscopy for small bowel obstruction secondary to strangulated obturator hernia in the acute setting, requiring advanced laparoscopic skill as demonstrated in this video.

scholarly journals Modified Prolene Hernia System Repair using Preperitoneal Approach for Obturator Hernia.

2002 ◽  
Vol 35 (8) ◽  
pp. 1448-1452 ◽  
Author(s):  
Kyosuke Miyazaki ◽  
Yoshiaki Narita ◽  
Fumitaka Nakamura ◽  
Tomoshige Masuda ◽  
Mitsuru Dohke ◽  
...  
Keyword(s):  
Obturator Hernia ◽  
Prolene Hernia System ◽  
Preperitoneal Approach

OBTURATOR HERNIA: A CASE REPORT

2016 ◽  
pp. 106-109
Author(s):  
Hoang Minh Thi Nguyen ◽  
Huu Tri Nguyen ◽  
Thanh Thao Nguyen
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Key Words ◽  
Clinical Manifestation ◽  
Elderly Women ◽  
Obturator Hernia ◽  
Abdominal Hernia ◽  
Mechanical Obstruction

Obturator hernia is a rare pelvic hernia which accounts for 1% of all abdominal hernia. Clinical manifestation is ussually unspecific. Obturator hernia is often diagnosed by computed tomography or ultrasound. We present a case of obturator hernia in an elderly women who was successfully diagnosed and treated at Hue Univeristy of Medicine and Pharmacy. Key words: obturator hernia, mechanical obstruction, intestinal obstruction, Richter obturator hernia, strangulation

Obturator hernia of urinary bladder

Urology ◽  
1976 ◽  
Vol 7 (3) ◽  
pp. 312-314 ◽  
Author(s):  
M.P. McCarthy
Keyword(s):  
Urinary Bladder ◽  
Obturator Hernia

Obturator hernia: embryology, anatomy, surgery

Hernia ◽  
2000 ◽  
Vol 4 (2) ◽  
pp. 121-128 ◽  
Author(s):  
L. J. Skandalakis ◽  
P. N. Skandalakis ◽  
G. L. Colborn ◽  
J. E. Skandalakis
Keyword(s):  
Obturator Hernia

Obturator hernia needs a laparotomy, not a diagnosis

1995 ◽  
Vol 170 (1) ◽  
pp. 67-68 ◽  
Author(s):  
Daniel W. Ziegler ◽  
Jonathan E. Rhoads
Keyword(s):  
Obturator Hernia
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