Laparoscopic-assisted modified Kugel herniorrhaphy for obturator hernia: a case report

Abstract

Obturator hernia (OH) is a relatively rare disease and there are various surgical procedures for treating it. We report the case of a patient with an OH who underwent laparoscopic-assisted modified Kugel herniorrhaphy. The patient was a 74-year-old woman admitted to our hospital with nausea and abdominal distension. A diagnosis of intestinal obstruction was made because abdominal computed tomography revealed incarcerated right OH. No apparent strangulation findings were observed, and reduction was performed under ultrasound guidance. Laparoscopic-assisted modified Kugel herniorrhaphy for OH was performed. There were no signs of the bowel necrosis. Pneumoperitoneum was temporarily discontinued, and the OH was repaired by the modified Kugel herniorrhaphy. Laparoscopy confirmed that the direct Kugel patch was placed at the appropriate position. Laparoscopic-assisted modified Kugel herniorrhaphy is considered to be safe and useful for patients with OH and is considered as one of the treatment options.

Are Surgeons Going to Be Left Holding the Bag? Incisional Hernia Repair and Intra-Peritoneal Non-Absorbable Mesh Implant Complications

“…Some of the authors have personally removed entero-prosthetic fistula from our own patients related to this device. A further comment on the confusing regulatory science of recalled meshes on one continent is that they seem to still be available years afterwards on other continents with differing regulations [81,82]. Even more disturbing is that, as Zargar and colleagues have noted, recalled meshes associated with adverse effects may, indirectly, continue to serve as predicates for new devices, thus raising significant concerns over the safety of the regulatory approval process itself [71].…”