Endoscopic TEP Inguinal Hernia Repair in the Management of Occult Obturator and Femoral Hernias

Rath, Alok; Bhatia, Parveen; Kalhan, Sudhir; John, Suviraj; Khetan, Mukund; Bindal, Vivek; Ali, Asfar; Singh, Rahul

doi:10.1097/sle.0b013e3182901509

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…A retrospective study of laparoscopic inguinal hernia repair found that 6.82% of patients had OH. 3 Rath et al 4 also described the incidence of occult OH as around 4% during laparoscopic groin hernia repair. Most OHs are not diagnosed until incarcerated, which lead to the highest mortality rate among abdominal wall hernias.…”

Section: Discussionmentioning

confidence: 98%

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Mechanical intestinal obstruction in underweight, elderly women due to an incarcerated obturator hernia

Sun

2022

ANZ Journal of Surgery

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Background: Obturator hernia is an infrequent pelvic hernia observed in elderly, emaciated and multiparous women. It often presents with nonspecific clinical symptoms, making it difficult to diagnose. Methods: We conducted a retrospective descriptive study on 11 patients admitted to our hospital for obturator hernia from 2009 to 2020. Results: All the patients were diagnosed with intestinal obstruction due to incarcerated obturator hernia preoperatively. Eight patients underwent laparotomy with low midline incision. Laparoscopic approach was tried on the other three patients with two patients converting to open surgery because of inadequate visualization, and only one patient received laparoscopic repair. Of the 10 patients receiving laparotomy, seven cases received obturator hernia repair with a match and three cases were subjected to bowel resection (two cases intestinal necrosis and one case intestinal perforation). Simple peritoneal closure was performed on the three contaminated cases. One patient died of septic shock and multiple organ failure. Conclusion:The emergent computed tomography allow for early and precise diagnosis of incarcerated obturator hernia. Laparotomy with low midline incision is commonly used to manage obturator hernia in an emergency, whereas laproscopic approach may only apply to some selected cases.

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Section: Discussionmentioning

confidence: 98%

“…A retrospective study of laparoscopic inguinal hernia repair found that 6.82% of patients had OH 3 . Rath et al 4 . also described the incidence of occult OH as around 4% during laparoscopic groin hernia repair.…”

Section: Discussionmentioning

confidence: 99%

Mechanical intestinal obstruction in underweight, elderly women due to an incarcerated obturator hernia

Sun

2022

ANZ Journal of Surgery

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“…A recent paper by Rath et al. 8 described the incidence of occult obturator hernias as around 4% during laparoscopic groin hernia repair. They showed good results for mesh repair over the myopectineal orifice.…”

Section: Discussionmentioning

confidence: 99%

Computed tomography in the investigation and management of obturator hernia

2016

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“…In the last few decades, also the option of laparoscopic repair has been taken into account, especially in the frame of posterior inguinal hernia repair when a femoral protrusion is occasionally detected [3]. Several prosthetic solutions have been highlighted in literature [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Fixation free femoral hernia repair with a 3D dynamic responsive implant. A case series report

Amato

Agrusa

Gordini

et al. 2018

International Journal of Surgery

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Femoral hernia repair with the 3D dynamic revealed a quick and safe placement procedure. The reduced pain intensity, as well as the absence of adverse events consequent to sutures or mesh fixation, seems to be a significant benefit of the motile compliance of the device. Furthermore, this 3D prosthesis has already proven to induce an enhanced probiotic response showing ingrowth in the implant of the typical tissue components of the abdominal wall, instead of the low quality tissue ingrowth typical in conventional meshes and plugs. The highlighted features seem to represent a more physiologic and updated repair concept of femoral protrusions.

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Endoscopic TEP Inguinal Hernia Repair in the Management of Occult Obturator and Femoral Hernias

Abstract: Preoperative and perioperative findings were discordant in quite a few cases. Preperitoneal dissection discovered coincidental occult hernias in 6.25% of patients.

Cited by 7 publications

References 4 publications

Mechanical intestinal obstruction in underweight, elderly women due to an incarcerated obturator hernia

Mechanical intestinal obstruction in underweight, elderly women due to an incarcerated obturator hernia

Computed tomography in the investigation and management of obturator hernia

Fixation free femoral hernia repair with a 3D dynamic responsive implant. A case series report

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