Obturator Hernia—an Uncommon Cause of Small Bowel Obstruction

Galketiya, Kamal; Sakrepatna, Srikanth; Gananadha, Sivakumar

doi:10.1007/s11605-012-2061-9

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…[11][12][13][14] In fact, CT examination is widely used for the diagnosis of IOH with an accuracy of over 90%, which is also considered the gold standard for diagnosis. 11,15,16 CT scan demonstrated incarcerated small bowel in obturator region with signs of proximal intestinal obstruction. In our study, all the patients were a thin, old, and multiparous lady and presented with ileus secondary to IOH.…”

Section: Discussionmentioning

confidence: 99%

“…Although obturator hernia is relatively insidious, Howhip-Romberg sign is still important in the diagnosis of IOH, which is an indication of obturator nerve irritation resulting in pain radiates from the inner thigh to the knee, accounting for 37% to 60% of all patients 11–14. In fact, CT examination is widely used for the diagnosis of IOH with an accuracy of over 90%, which is also considered the gold standard for diagnosis 11,15,16. CT scan demonstrated incarcerated small bowel in obturator region with signs of proximal intestinal obstruction.…”

Section: Discussionmentioning

confidence: 99%

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The Feasibility and Potential Advantages of Laparoscopic Management of Incarcerated Obturator Hernia Over the Open Approach

Zhang

Yuan²,

Gu³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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The purpose of this study was to explore the feasibility and potential advantages of laparoscopic surgery in the treatment of incarcerated obturator hernia (IOH).Materials and Methods: Clinical data of 23 patients with IOH who underwent emergency surgery at our hospital from June 2015 to October 2020 were retrospectively analyzed. The clinical characteristics and surgery outcomes were compared between the laparoscopic group, open group, and the previously published data.Results: Twelve patients with IOH were treated by laparoscopic management, while 11 patients with IOH underwent open surgery. There was no statistically significant difference in preoperative general data between the 2 groups, while the laparoscopic group had less intraoperative blood loss, shorter postoperative hospital stay, and lower postoperative complications compared with open group. Furthermore, when compared with the open group reported in previous literature, which showed similar conclusions. Conclusion:Laparoscopic surgery for IOH showed more favorable advantages including less intraoperative blood loss, shorter postoperative hospital stay, and lower postoperative complications compared with an open approach, which is a safe and feasible minimally invasive strategy and has certain advantages.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Feasibility and Potential Advantages of Laparoscopic Management of Incarcerated Obturator Hernia Over the Open Approach

Zhang

Yuan²,

Gu³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Hernia Emergencies

Yeh

Alam

2014

Surgical Clinics of North America

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Hernia emergencies are commonly encountered by the acute care surgeon. Although the location and contents may vary, the basic principles are constant: address the life-threatening problem first, then perform the safest and most durable hernia repair possible. Mesh reinforcement provides the most durable long-term results. Underlay positioning is associated with the best outcomes. Components separation is a useful technique to achieve tension-free primary fascial reapproximation. The choice of mesh is dictated by the degree of contamination. Internal herniation is rare, and preoperative diagnosis remains difficult. In all hernia emergencies, morbidity is high, and postoperative wound complications should be anticipated.

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Obturator Hernia—an Uncommon Cause of Small Bowel Obstruction

Cited by 2 publications

References 2 publications

The Feasibility and Potential Advantages of Laparoscopic Management of Incarcerated Obturator Hernia Over the Open Approach

The Feasibility and Potential Advantages of Laparoscopic Management of Incarcerated Obturator Hernia Over the Open Approach

Hernia Emergencies

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