Laparoscopic repair of obturator hernia

Chan, Eva Sze‐Wah; Tang, Chung‐Ngai; Ha, J P Y; Li, Michael Ka-Wah

doi:10.1111/j.1744-1633.2006.00321.x

Cited by 3 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subsequently, increasing evidence indicates that CT scanning has superior sensitivity and accuracy in the preoperative diagnosis of obturator hernia. Some authors propose that emergency CT scanning could lead to rapid diagnosis and early surgical intervention particularly in elderly patients presenting with ileus of unknown origin [18]. CT is able to accurately diagnose obturator hernias which can be hard to diagnose clinically.…”

Section: Reviewmentioning

confidence: 99%

“…Postural manoeuvres, such as prone or decubitus positioning, and scanning while the patient performs the Valsalva manoeuvre may help depict subtle hernias as well [7,16]. Diagnostic laparoscopy is more specific than any types of imaging as it gives concrete diagnosis and helps to decide subsequent management [18]. There is a general agreement that obturator hernia must be treated surgically.…”

Section: Reviewmentioning

confidence: 99%

“…This approach is minimally invasive and provides some benefits for high-risk patients like less postoperative pain, less ileus, fewer pulmonary complications, and a shorter hospital stay. Whatever the approach, the emphasis should be on rapid evaluation, adequate resuscitation, and early operative intervention, to reduce the morbidity and mortality [2,18]. Bowel obstruction was once considered a relative contraindication for laparoscopic surgery because of the risk of bowel perforation during port insertion and handling of friable, distended gut.…”

Section: Reviewmentioning

confidence: 99%

“…Bowel obstruction was once considered a relative contraindication for laparoscopic surgery because of the risk of bowel perforation during port insertion and handling of friable, distended gut. It is important to note that if we want to be sure and not to feel additional difficulties during laparoscopic approach, we need to operate in an early stage when the abdomen is not grossly distended, giving adequate working space [18].…”

Section: Reviewmentioning

confidence: 99%

See 3 more Smart Citations

Įstrigusi obturatorinė išvarža 49-erių metų moteriai: atvejo aprašymas ir literatūros apžvalga

Markevičius¹,

Lunevičius²,

Markovas³

et al. 2010

View full text Add to dashboard Cite

Marius Markevičius, Raimundas Lunevičius, Vitalijus Markovas, Juozas Stanaitis Vilnius University, Center of General Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04139 Vilnius, LithuaniaEl. paštas: marijuss@gmail.com Incarcerated obturator hernia in 49 year old women: a case report and review of the literature Marius Markevičius, Raimundas Lunevičius, Vitalijus Markovas, Juozas Stanaitis Vilnius University, Center of General Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04139 Vilnius, LithuaniaE-mail: marijuss@gmail.com Introduction Incarcerated obturator hernia is a rare cause of bowel obstruction. This case report aimed to review the diagnosis and management of obturator hernia by describing the anatomy, clinical presentation, diagnostic modalities, and predisposing factors. Case presentation A 49-year-old woman presented to emergency department with progressive spastic abdominal pain, vomiting, abdomen enlargement, and tenesmus. One month before this episode she was diagnosed a carcinoma of the cervix uteri which was defined as T1b N1 M0 G2. She has undergone a curative R0 type surgery and adjuvant chemoradiation. There were no pelvic abnormalities described in the operative protocol. She lost 20 kg in two years. Because of ineffective conservative treatment, progression of acute bowel obstruction and signs of local peritonitis, she underwent an urgent curative laparotomy. It was confirmed that a loop of ileum was incarcerated and irreducible in the canal of right side of pelvis that suited to obturatoric foramen. Conclusion Rarity of such a condition makes great difficulties in diagnosing it. CT is needed to recognize obturator hernia in early stages before its incarceration. Significant lost weight (> 20 kg), and adjuvant chemoradiotherapy were most possible predisposing risk factors for right obturator hernia in 49 years old female. Keywords: obturator hernia, strangulated hernia, risk factors, laparoscopy, laparotomy.

show abstract

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Įstrigusi obturatorinė išvarža 49-erių metų moteriai: atvejo aprašymas ir literatūros apžvalga

Markevičius¹,

Lunevičius²,

Markovas³

et al. 2010

View full text Add to dashboard Cite

show abstract

Obturator hernia—a condition seldom thought of and hence seldom sought

Mandarry

Zeng

Wei

et al. 2011

Int J Colorectal Dis

View full text Add to dashboard Cite

Obturator hernia should always be in the differential diagnosis in septuagenarian to nonagenarian patients with nonspecific signs and symptoms of intestinal obstruction. Computed tomography of abdomen and pelvis has been found to be the gold standard for preoperative diagnosis and this condition necessitates immediate surgical reduction and repair of the defect either by open or laparoscopic approach.

show abstract