Obturator hernia: The plug technique

Insua, C.; Pereira, Joana; Oliveira, Mónica

doi:10.1007/s100290100018

Cited by 34 publications

(7 citation statements)

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“…Over the years, various methods have been applied and modified to treat this kind of disease, ranging from the simple surgery of fascia stapling, to laparoscopic techniques and modern materials, such as synthetic meshes [1]. The application of alloplastic implants has decreased the risk of the recurrence of the disease, as well as the intensity of postoperative pain [2].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between the Mechanism of Zinc Oxide Crystallization and Its Antimicrobial Properties for the Surface Modification of Surgical Meshes

et al. 2017

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Surgical meshes were modified with zinc oxide (ZnO) using a chemical bath deposition method (CBD) at 50 °C, 70 °C, or 90 °C, in order to biologically activate them. Scanning electron microscopy (SEM), mass changes, and X-ray diffraction measurements revealed that at low temperatures Zn(OH)2 was formed, and that this was converted into ZnO with a temperature increase. The antimicrobial activity without light stimulation of the ZnO modified Mersilene™ meshes was related to the species of microorganism, the incubation time, and the conditions of the experiment. Generally, cocci (S. aureus, S. epidermidis) and yeast (C. albicans) were more sensitive than Gram-negative rods (E. coli). The differences in sensitivity of the studied microorganisms to ZnO were discussed. The most active sample was that obtained at 90 °C. The mechanism of antimicrobial action of ZnO was determined by various techniques, such as zeta potential analysis, electron paramagnetic resonance (EPR) spectroscopy, SEM studies, and measurements of Zn(II) and reactive oxygen species (ROS) concentration. Our results confirmed that the generation of free radicals was crucial, which occurs on the surface of crystalline ZnO.

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Section: Introductionmentioning

confidence: 99%

The Relationship between the Mechanism of Zinc Oxide Crystallization and Its Antimicrobial Properties for the Surface Modification of Surgical Meshes

et al. 2017

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“…In more than 80% of cases, patients present with symptoms of small bowel obstruction caused by incarceration of the bowel into the obturator canal [2]. The classic presenting sign is the Howship-Romberg sign, which occurs in 48% of cases, characterized by pain or paresthesia in the hip with radiation down the medial thigh to the knee on the affected side.…”

Section: Discussionmentioning

confidence: 99%

“…Shapiro et al [6] describe the use of polypropylene mesh placed extraperitoneally to remedy the hernia. Insua et al [2] used a polyester plug that was inserted into the obturator canal to prevent incarceration in the future. Although the plug technique may prevent future incarceration, it would seem that such a repair would not alleviate nerve compression through the obturator canal.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic obturator hernia repair in an adolescent

Sorabella

Miniati

Brandt

2005

Journal of Pediatric Surgery

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“…When last seen, this patient had no complaints about the operation. A plug repair is now often performed via the inguinal or preperitoneal approach, or even in laparotomy or laparoscopy, 13,14 and severe complications related to the plug insertion have seldom been reported.…”

Section: Discussionmentioning

confidence: 99%

Elective plug repair of an incarcerated obturator hernia by the thigh approach after noninvasive manual reduction: Report of two cases

2010

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An obturator hernia is a rare type of pelvic hernia, which can cause bowel obstruction. Despite improved imaging techniques, which can allow us to make a preoperative diagnosis, emergency laparotomy is still often carried out. We repaired this hernia electively in two elderly women by inserting a plug into the obturator canal via the thigh, after noninvasive manual reduction. Both patients were brought to our Emergency Department after the sudden onset of severe pain in the thigh or groin. The diagnosis was confirmed by computed tomography, and manual reduction was performed immediately thereafter. Since both patients had undergone groin hernia surgery of the identical side before, less-invasive inguinal or extraperitoneal approaches were considered impossible, but laparotomy seemed too invasive. Despite being an unfamiliar field for general surgeons, the thigh approach gives excellent and easy access to the obturator canal. The technique we describe is especially useful for patients who have undergone previous groin hernia operations. We expect that this method will become a standard technique for obturator hernias without strangulation.

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Obturator hernia: The plug technique

Cited by 34 publications

References 0 publications

The Relationship between the Mechanism of Zinc Oxide Crystallization and Its Antimicrobial Properties for the Surface Modification of Surgical Meshes

The Relationship between the Mechanism of Zinc Oxide Crystallization and Its Antimicrobial Properties for the Surface Modification of Surgical Meshes

Laparoscopic obturator hernia repair in an adolescent

Elective plug repair of an incarcerated obturator hernia by the thigh approach after noninvasive manual reduction: Report of two cases

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