Bowel obstruction secondary to incarcerated obturator hernia

Chen, Fan; Fei, Zhewei; Xiao-jun, Wang

doi:10.1016/j.asjsur.2015.08.003

Cited by 14 publications

(20 citation statements)

References 11 publications

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“…Se han descrito en la literatura varias vías de abordaje, sin llegar a un consenso sobre la técnica de elección. Podemos discernir entre las técnicas abiertas y las técnicas mediante abordaje laparoscópico 10,15,16 . En cuanto a las técnicas abiertas, se han descrito los abordajes inguinal anterior, inguinal posterior y a través de laparotomía media infraumbilical, siendo este último el más empleado 15 .…”

Section: Discussionunclassified

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Analysis of our experience in the diagnosis and treatment of obturator hernia in a third level hospital

Eguaras-Córdoba¹,

Sánchez-Acedo

José³

et al. 2018

An Sist Sanit Navar

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Hernia pathology accounts for a large percentage of urgent surgical interventions. Obturator hernia is rare, usually presenting as a picture of acute intestinal occlusion. The aim of the study is to analyze the experience in a third level hospital in the diagnosis and treatment of obturator hernia, as well as to detect those signs that allow an early diagnosis. This is a prospective observational study, which included patients operated on urgently for obturator hernia between 2000 and 2016. For the registration of postoperative morbidity, the Clavien-Dindo classification was used. We identified twelve patients with intestinal obstruction secondary to obturator hernia. All of them were operated on urgently. Urgent midline laparotomy was carried out on 59% of them, infraumbilical laparotomy on 33%, and a posterior inguinal approach was realized on only one patient (8%). In eight patients (67%) it was necessary to perform intestinal resection. Repair was performed by polypropylene mesh in six patients (50%), by plugging in two (17%) and closing with loose stitches in four patients (33%). Four of them presented postoperative complications, recording a single exitus secondary to perforation due to intestinal suffering. Obturator hernia is a rare entity that develops mostly as an occlusive condition in elderly women. The imaging technique of choice for diagnosis is computed tomography. Establishing an early diagnosis and urgent surgical treatment is a priority to reduce associated morbidity and mortality.

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“…Estos dos hechos dificultan la sospecha clínica, lo cual retrasa el proceso diagnóstico y terapéutico. Este retraso se asocia a un incremento de las tasas de estrangulación herniaria (que oscilan entre el 25 y el 100%) 3-6 y mortalidad (12-70%) [3][4][5][6][7][8][9][10] .…”

Section: Correspondenciaunclassified

Analysis of our experience in the diagnosis and treatment of obturator hernia in a third level hospital

Eguaras-Córdoba¹,

Sánchez-Acedo

José³

et al. 2018

An Sist Sanit Navar

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“…Despite this they are still associated with a high mortality rate [2]. This may be attributed to the fact that they are difficult to diagnose clinically as signs and symptoms may be non-specific [4].…”

Section: Discussionmentioning

confidence: 99%

Subacute bowel obstruction secondary to an obturator hernia: case report and a review of the literature

Caine

Newman

Marzouk

et al. 2017

Journal of Surgical Case Reports

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Obturator hernias 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 obturator hernia. The hernia was repaired using a single suture and she made a good recovery. A review of the literature around obturator hernias is discussed.

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“…Obturator hernias are a rare phenomenon, constituting 0.073–1% of all hernias . The obturator canal is normally 2–3 cm long and 1 cm wide and transmits the artery, vein and nerve of the same name .…”

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confidence: 99%

“…Obturator hernias are a rare phenomenon, constituting 0.073-1% of all hernias. 1,2 The obturator canal is normally 2-3 cm long and 1 cm wide and transmits the artery, vein and nerve of the same name. 1 When small bowel herniates through the canal, incarceration often results and this accounts for 0.2-1.6% of all cases of small bowel obstruction.…”

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confidence: 99%

Strangulated obturator hernia as an unusual cause of small bowel obstruction

Kwok

Sarofim

2018

ANZ Journal of Surgery

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Bowel obstruction secondary to incarcerated obturator hernia

Abstract: The diagnosis of obturator hernia can be made by CT scan preoperatively, and the obturator hernia should be suspected when an unexplained bowel obstruction in elderly, thin women occurs.

Cited by 14 publications

References 11 publications

Analysis of our experience in the diagnosis and treatment of obturator hernia in a third level hospital

Analysis of our experience in the diagnosis and treatment of obturator hernia in a third level hospital

Subacute bowel obstruction secondary to an obturator hernia: case report and a review of the literature

Strangulated obturator hernia as an unusual cause of small bowel obstruction

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