Obturatorhernia: Clinical analysis of 11 patients and review of the literature. Obturatorhernia is a relatively rare type of abdominal hernia, in which abdominal contents protrude through the obturator canal, a condition that can lead to small bowel obstruction. Its rarity and nonspecific signs and symptoms make a preoperative diagnosis difficult. The present study analyzed the clinical manifestations, diagnostic methods and operative treatment outcomes in patients with obturator hernia.Between January 2012 and October 2019, 1028 adults underwent surgical repair of abdominal wall hernia at the Department of Surgery, Kyungpook National University Hospital. The medical records of eleven patients who were treated for small bowel obstruction due to obturatorhernia were retrospectively evaluated
Treatment outcomes of Kugel repair for obturatorhernias: a retrospective study. We examined the validity and applicability of the Kugel repair approach for obturatorhernias, whereby we placed a Kugel patch through the preperitoneal space after placing a short 5-cm skin incision just medial to the anterior iliac spine and 2 cm cranial to the expected origin of the internal inguinal ring. We studied patients who underwent surgical Kugel repair for obturatorhernias at the Department of General Surgery, Saitama Medical University between 2007 and 2017. We examined the operating time, length of hospital stay, postoperative complications, and mortality rate. Fifty-eight patients with obturatorhernias presented with symptoms of small bowel obstruction. A Kugel approach was used in 53 patients
Therapeutic Strategy for Incarcerated ObturatorHernia Using Preoperative Manual Reduction and Laparoscopic Repair. Obturatorhernia (OH) is a rare but serious disease associated with high morbidity and mortality due to advanced patient age and comorbidities. This study evaluated the feasibility of a laparoscopic approach to OH. We retrospectively reviewed the records of 32 patients (median age
A Masquerading and Unconventional Cause of Dynamic Intestinal Obstruction: Strangulated ObturatorHerniaObturatorhernia is an extremely rare type of abdominal wall hernia occurring mostly in elderly, thin females. It is characterized by the herniation of intra-abdominal contents through the obturator foramen. Symptoms are often nonspecific, and the patient usually presents with an acute and in initiating treatment. We present a case of a 65-year-old lady with strangulated obturatorhernia who underwent emergent, lower midline laparotomy with resection and anastomosis of the small bowel and purse-string repair of the hernial defect.
Small bowel obstruction as a result of an obturatorhernia: a rare cause and a challenging diagnosis Obturatorhernias are exceedingly rare in surgical routine, constituting 0.073% of all intra-abdominal hernias in the West and 1% in the far East. Commonly known as 'little old lady's hernia', obturatorhernias are usually seen in frail, octogenarian multiparous women. This case report discusses an 85-year-old female who had symptoms of acute bowel obstruction; thanks to high degree of clinical suspicion and aided by a computed tomography (CT) of abdomen and pelvis, an incarcerated right obturatorhernia was diagnosed preoperatively and treated successfully. Obturatorhernia is a rare condition associated with a high rate of morbidity and mortality. CT scan is the most accurate imaging method
Left sided Richter type obturatorhernia causing intestinal obstruction: A case report Although relatively rare, an obturatorhernia is a significant cause of intestinal obstruction. It usually occurs in emaciated elderly females. Computed tomography is the imaging modality of choice to diagnose obturatorhernias. In this report we present a case of an elderly female who presented to the emergency department with features suggesting bowel obstruction. The patient was admitted to the hospital and was initially managed conservatively. Two days later the patient underwent an exploratory laparotomy and was diagnosed with a left sided Richter type obturatorhernia. The hernia was successfully reduced and the necrotic bowel was resected with end to end anastomosis. An obturatorhernia is a rare
Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturatorhernia: a case report Bowel incarceration represents a dreaded complication amongst patients with hernias. The intraoperative evaluation of the bowel perfusion following hernia reduction with regard to the need for resection of ischaemic bowel can be challenging. In this case report we discuss intraoperative fluorescence angiography with indocyanine green (ICG) as an objective means of accessing bowel perfusion following hernia reduction. The case of a 92-year-old, caucasian, female patient presenting with symptoms of small bowel obstruction secondary to an incarcerated left sided obturatorhernia is presented. An incarcerated segment
Bowel obstruction in obturatorhernia: A challenging diagnosis The obturatorhernia is a rare pelvic hernia that often comes in the shape of bowel obstruction caused by the presence of an intestinal segment, more often ileum, passing trough the obturator foramen of the pelvic wall (Fig. 1). This type of hernia accounts for 0.5-1.4% of all hernias. We report the clinical case of a 84-year-old woman with no previous surgical interventions, who went to the emergency room complaining of vomit and nausea, bowels closed to gas and stool, which she had experienced for three previous days. Routine blood test showed impaired renal function and hydrohelectrolyte imbalance. A CT scan revealed a right ileal, strangulated obturatorhernia. The patient underwent an emergency surgical intervention
Elective laparoscopic repair after reduction might be useful strategy for incarcerated obturatorhernia: a case report Obturatorhernia is a rare clinical condition that causes intestinal obstruction. Recent reports have suggested that laparoscopic repair may be useful for incarcerated obturatorhernia in select patients. The patient was a 64-year-old female who presented to our emergency department with a chief complaint of abdominal pain. Computed tomography (CT) imaging revealed an incarcerated obturatorhernia on her right side, without apparent findings of irreversible ischaemic change or perforation. She had a previous history of cardiovascular surgery and was taking an anticoagulant medication. We performed a reduction of the incarcerated intestine. After heparin displacement
Emergency incarcerated obturatorhernia repair with biologic mesh in a male patient after ipsilateral hip disarticulation: A case report An obturatorhernia is an uncommon form of abdominal hernia that is difficult to diagnose due to its non-distinct presentation. This case investigates an emergency treatment of an obturatorhernia presenting in a patient with an ipsilateral hip disarticulation herniated loops of small bowel corresponding to the left obturator foramen, revealing the diagnosis of an incarcerated obturatorhernia. The bowel was reduced and secured within the hip stump and the defect was covered with Strattice biologic mesh. Obturatorhernias are rare and can involve vague symptoms, but it is essential to make an accurate diagnosis and repair the defect on an emergency basis
Rare case of incarcerated obturatorhernia: Case report and review of literature Obturatorhernia is a rare condition accounting for less than 1% of all intra abdominal hernias. Clinical diagnosis is considered a challenge for most surgeons. It usually appears as an intestinal obstruction. Confirmation of diagnosis is carried out by means of imaging or during surgery. An 85-year-old female patient, with symptoms of intestinal obstruction of 24h duration was admitted to the emergency room of Unimed Hospital - Belo Horizonte. Abdominal computed tomography (CT) demonstrated a herniation of the small bowel through the right obturator canal with an intestinal distension proximally. At laparotomy, the presence of a right obturatorhernia with an ileal strangulation was confirmed. Segmental
Subacute bowel obstruction secondary to an obturatorhernia: case report and a review of the literature Obturatorhernias are rare and are often diagnosed late. This case report discusses an 82-year-old female who had symptoms of subacute bowel obstruction. Following a computed tomography abdomen pelvis, she underwent a laparotomy for an incarcerated right obturatorhernia. The hernia was repaired using a single suture and she made a good recovery. A review of the literature around obturatorhernias is discussed.
The impact of non-invasive manual and ultrasonography reduction for incarcerated obturatorhernia PROSPEROInternational prospective register of systematic reviews Print | PDFThe impact of non-invasive manual and ultrasonography reduction for incarcerated obturator herniaJun Watanabe, Atushi Miki, Masaru Koizumi, Hironori Yamaguchi, Naohiro SataTo enable PROSPERO to focus on COVID-19 submissions Yamaguchi, Naohiro Sata. The impact of non-invasive manual and ultrasonography reduction for incarcerated obturatorhernia. PROSPERO 2024 CRD42024498295 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024498295Review questionPatients: patients with incarcerated obturator herniaIntervention: ultrasound reductionComparison: manual reductionOutcomes: success of reduction, bowel
Comparison of open versus laparoscopic surgery in the management of obturatorhernia: a systematic review and meta-analysis PROSPERO International prospective register of systematic reviews Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms
The feasibility of laparoscopic management of incarcerated obturatorhernia. Obturatorhernia (OH), a rare cause of acute small bowel obstruction, requires immediate surgical intervention to prevent serious complications and mortality. We assessed the safety and efficacy of laparoscopic surgery in patients with incarcerated OH presenting with acute abdomen in an emergency setting. Data pertaining to patients diagnosed with incarcerated OH between 2011 and April 2015 at our hospital were reviewed. Patients' characteristics, operation details and postoperative outcomes were retrospectively analyzed. All ten patients diagnosed with incarcerated obturatorhernia during the reference period were females (average age 72.1 ± 11.8 years; average weight 44.1 ± 6.9 kg; average body mass index 17.8
Obturatorhernia as a frequent finding during laparoscopic pelvic exploration: A retrospective observational study. Hernia through the obturator canal is usually unsuspected and hence undiagnosed. Patients with obturatorhernias present as acute cases of intestinal obstruction secondary to strangulation or incarceration, with high rate of morbidity and mortality due to delayed diagnosis and treatment. The know incidence of obturatorhernia is low, representing 0.073% (11 of 15,098) of all hernias repaired at the Mayo Clinic in a retrospective study of 15 years. In this study, we conducted a retrospective analysis of laparoscopic extraperitoneal hernia repairs that were performed between the years 2003 and 2007. All procedures were undertaken by 2 experienced surgeons who performed more than
Difficult diagnosis: strangulated obturatorhernia in an 88-year-old woman The obturatorhernia is a rare type of hernia that can present a diagnostic challenge for the clinician. We report a case of an 88-year-old woman who presented with a history of right iliac fossa pain, bilious vomiting and diarrhoea. Non-specific findings on examination and blood tests made the diagnosis difficult, however , a CT scan of her abdomen revealed the site of the obstruction and the patient was taken to theatre for emergency surgery. We review the literature with focus on the diagnosis of obturatorhernias and the different surgical approaches used. The authors believe that this case is of educational value to healthcare professionals, particularly those working in general practice, emergency departments