The hernia was successfully repaired laparoscopically without any need for small bowel resection. Neither of them had.
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The average hospital length of stay was 162 days with a mortality rate of 278.
. The mean duration from the appearance of symptoms to surgery was 75 days range 30365. Conclusion This case report highlights the importance of rapid diagnosis and repair of obturator hernia even in the setting of an improving clinical picture. Treatment An obturator hernia is a life-threatening condition since the.
Both patients presented with clinical and radiological signs of small bowel obstruction. This surgical technique is also indicated for obturator hernias without perforation. Therefore it is recommended for older patients.
4147 An obturator hernia occurs when intraabdominal viscera or. The recurrence rate at 3 years after the initial obturator hernia surgery was 51 359 cases. The mean operative time was 1010 min.
Aging can cause loosening of muscle mass and fatty tissue and the intestine enters the obturator canal. Presented by Marcoandrea Giorgi at the P001. Kugel repair for obturator hernia can be performed by making a small suprainguinal incision and requires a short operating time.
She was discharged on postoperative day 2 with an uneventful recovery and zero complications. Obturator hernias are rare and most cases present as incarcerated hernias. Delayed diagnosis frequent complications leads to significant mortality.
The inguinal approach was selected and primary repaired with mesh in 14 operations 100. Elbert Khiangte operates on a female patient of 28 years presented with recurrent pain in the left iliac fossa for 10 years. DIFFICULT DIAGNOSIS - EASY REPAIR December 30 2016 Written by Super User Published in General Surgery Obturator hernia is rare pelvic hernia difficult to diagnose clinically because of non specific symptoms and obscure physical findings.
Causes of Obturator Hernia. Eleven patients underwent urgent laparotomy and six laparoscopic repairs. CT scan confirmed obturator.
Multiple child birth and obesity can also cause obturator hernia. Similarly we found that obturator hernia was present in 13 126 of the 1028 patients who underwent surgical repair of abdominal wall hernia. The obturator hernia was first described at the Royal Academy of Sciences of Paris by Pierre Roland Arnaud de Ronsil in 1724.
Since obturator hernias often become only clinically apparent when incarcerated signs of acute small bowel obstruction can be found in 90 of patients with newly diagnosed obturator hernia. The description is both written and in video format. 39 More than 100 years later Obre performed the first successful repair.
How Would You Approach This. Here we present a novel surgical technique to repair an obturator hernia with a uterine flap. Bowel obstructions often require surgical intervention and this is often when the obturator hernia is often discovered.
The authors report on two cases of mechanical bowel obstruction due to incarcerated obturator hernia in elderly thin women. Owing to unspecific clinical signs and therefore often delayed diagnosis advanced age of the patient comorbidities and associated chronic disease mortality has been. If the hernia content is difficult to reduce incision of.
Symptoms of Obturator hernia include. This technique is well suited to unilateral and bilateral. 40 Currently these rare defects represent only 005 to 14 of all hernias encountered by clinicians.
Timely diagnosis and operative intervention for obturator hernia is the cornerstone of management. Obturator hernia is thought to result from progressive relaxation of the pelvic floor which may be associated with advanced age emaciation increased intraabdominal pressure and multiparity. We report our technique of transabdominal laparoscopic direct repair using a running barbed suture in 2 cases.
The hernias were diagnosed by computed tomography CT scan and repaired with synthetic mesh placed in the preperioneal space. Obturator Hernia Symptoms. The aim of this paper is to present a simple method for obturator hernia repair in two cases with strangulated obturator hernia.
Obturator hernias are approached abdominally and can be repaired laparoscopically. Complex and Challenging Hernia Case Presentations session during the SAGES. THE OBTURATOR HERNIA.
They can be repaired either transabdominally or extraperitoneally by the conventional open method or a laparoscopic approach. Furthermore Kugel repair can still be performed for obturator hernias that require intestinal resection. We report a case of bilateral obturator hernia with incarceration in association with bilateral femoral hernia in which these problems were satisfactorily addressed.
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