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Obturator hernia

S Shreshtha
A 70 year old lady presented to surgery emergency with small bowel obstruction without any obvious etiology. On exploration she was found to have an obstructed obturator hernia, which is a rare pelvic hernia with an incidence of 0.07-1.4% of all intra-abdominal hernias. Diagnosis is often delayed until laparotomy for bowel obstruction. Strangulation is frequent and mortality remains high (25%). Early diagnosis and surgical treatment contributes greatly to reduce the mortality and morbidity rates. A variety of techniques have been described, however surgical repair has not been standardized...
October 2016: Journal of Postgraduate Medicine
John F Vance, Benjamin S Scharfstein
No abstract text is available yet for this article.
September 2016: American Surgeon
Hugo H Davila, Taryn Gallo, Lindsey Bruce, Christopher Landrey
The objective of this study was to evaluate our technique and steps of robotic and laparoendoscopic single-site utero-sacral ligament suspension in the treatment of patients with symptomatic apical vaginal prolapse. A retrospective analysis was done using the data in 2 community hospital. Eighteen women presented with vaginal apex prolapse and desired minimally invasive surgery (video): (a) Laparoendoscopic single-site utero-sacral ligament suspension (LESS-UTSLS) (n = 13) or (b) robotic-assisted single-site utero-sacral ligament suspension (RASS-UTSLS) (n = 5) were eligible to participate...
September 8, 2016: Journal of Robotic Surgery
Vishwajit Deshmukh, Seema Singh, Neerja Sirohi, Divya Baruhee
The obturator artery normally originates from the internal iliac artery while the obturator vein drains into the internal iliac vein. During a routine gross anatomy dissection class for undergraduate students at the All India Institute of Medical Sciences, New Delhi, India, in 2016, a rare unilateral variation in the obturator vasculature was found in a female cadaver of approximately 55 years of age. In this case, the left obturator artery originated from the superior gluteal artery and the left obturator vein drained into the external iliac vein...
August 2016: Sultan Qaboos University Medical Journal
Kazım Şenol, Mehmet Emrah Bayam, Uğur Duman, Evren Dilektaşlı, Muhammed Doğangün, Abdullah İnal, Deniz Necdet Tihan
Obturator hernia (OH) is a rare condition with high rates of morbidity and mortality. While diagnosis is difficult, surgery is the definitive treatment. Intestinal obstruction is the most common symptom upon admission. In addition, small-bowel obstruction is documented in more than half of OH patients. Advanced age, intestinal obstruction, bowel perforation, comorbid diseases, and clinical deterioration are risk factors for higher rates of mortality. The aim of the present report was to document clinical and surgical management of 3 female patients, each over 80 years of age, admitted to the emergency surgery department with intestinal obstruction and OH...
May 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Duncan Light, Kasra Razi, Liam Horgan
INTRODUCTION: Obturator hernias are a rare groin hernia. They are most commonly found incidentally during laparoscopic inguinal hernia repair. We investigated our experience with obturator hernias in the elective and emergency setting. METHODS: Cases of obturator hernia were identified from a hospital database and reviewed retrospectively over the last 10 years. There were no exclusions. There were a number of surgeons involved with an interest in groin hernia surgery...
August 8, 2016: Scottish Medical Journal
Sergio Susmallian, Oleg Ponomarenko, Royi Barnea, Haim Paran
Hernia through the obturator canal is usually unsuspected and hence undiagnosed. Patients with obturator hernias present as acute cases of intestinal obstruction secondary to strangulation or incarceration, with high rate of morbidity and mortality due to delayed diagnosis and treatment. The know incidence of obturator hernia is low, representing 0.073% (11 of 15,098) of all hernias repaired at the Mayo Clinic in a retrospective study of 15 years. In this study, we conducted a retrospective analysis of laparoscopic extraperitoneal hernia repairs that were performed between the years 2003 and 2007...
July 2016: Medicine (Baltimore)
Megan Kathleen Leitch, Michael Yunaev
The obturator hernia is a rare type of hernia that can present a diagnostic challenge for the clinician. We report a case of an 88-year-old woman who presented with a history of right iliac fossa pain, bilious vomiting and diarrhoea. Non-specific findings on examination and blood tests made the diagnosis difficult, however, a CT scan of her abdomen revealed the site of the obstruction and the patient was taken to theatre for emergency surgery. We review the literature with focus on the diagnosis of obturator hernias and the different surgical approaches used...
2016: BMJ Case Reports
Bapurapu Raja Ram, Vallabhdas Srinivas Goud, Dodda Ramesh Kumar, Bande Karunakar Reddy, Kumara Swamy Boda, Venkanna Madipeddi
INTRODUCTION: The available classical approaches for Groin hernia are multiple. The change of approach with change of incision is needed with these approaches when the bowel is gangrenous. AIM: To evaluate the efficacy and safety of a new approach for all strangulated groin hernias (inguinal, femoral and obturator), in terms of change of approach/complications. MATERIALS AND METHODS: It was conducted in surgical unit-2 of MGM Hospital, Kakatiya Medical College Warangal, Telangana State, India, from Nov 2000 to Oct 2010...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
Kao-Lang Liu, I-Lun Shih, Chin-Chen Chang
No abstract text is available yet for this article.
April 2016: American Journal of Gastroenterology
Muhammad Usman Malik, Tara M Connelly, Mustafa Hamid, Frederik Pretorius
Obturator hernia (OH), a rare type of hernia, is associated with high morbidity and mortality. Diagnosis is often delayed as clinical symptoms are typically non-specific. OH is frequently associated with other occult inguinopelvic herniae. Early diagnosis is vital to decrease morbidity and mortality. We report the case of a 75-year-old woman who presented to the surgical outpatients' department with non-specific bilateral groin pain radiating to the thighs. CT of the pelvis demonstrated bilateral OH with no radiological evidence of bowel obstruction...
2016: BMJ Case Reports
M Ates, E Kinaci, E Kose, V Soyer, B Sarici, S Cuglan, F Korkmaz, A Dirican
PURPOSE: Corona mortis (CMOR) is the arterial and/or venous vascular communication(s) between the obturator and external iliac vessels. Totally extraperitoneal (TEP) inguinal hernioplasty can be associated with vascular complications especially during the fixation of the mesh. Theoretically, CMOR is an important nominee. But, the data in literature are insufficient about CMOR injury. Additionally, most of the studies about CMOR have been usually performed on cadavers. We aimed to reveal the preperitoneal vascular anatomy of inguinal area and provide in vivo knowledge about CMOR...
October 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Dawei Chen, Zhewei Fei, Xiaojun Wang
BACKGROUND/OBJECTIVE: Obturator hernia is rare type of abdominal hernia and its diagnosis usually is made intraoperatively for bowel obstruction or computed tomography (CT) scans of the abdomen. The aim of this study was to review patient's records with respect to clinical manifestation, CT scan findings, and operative outcomes. METHODS: From April 2009 to January 2015, six female patients with incarcerated obturator hernia underwent urgent operation for acute intestinal obstruction...
November 8, 2015: Asian Journal of Surgery
R Karashima, M Kimura, N Taura, Y Shimokawa, T Nishimura, H Baba
PURPOSE: To compare the feasibilities and efficacies of the total extraperitoneal (TEP) technique and laparotomy for incarcerated obturator hernia repair. METHODS: All study subjects were diagnosed with incarcerated obturator hernia, preoperatively and TEP was performed as for TEP groin hernia repair. The incarcerated intestine was retracted into the peritoneal cavity with the hernia sac. The obturator foramen was then covered with a rectangular mesh (9 × 13 cm), which also covered the internal inguinal ring, Hesselbach's triangle, and the femoral ring...
June 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
David Edmund Mitchell, Michael Yunaev
We present the case of a 17-year-old girl who presented with the signs and symptoms of acute appendicitis; however, during laparoscopic surgery, it was found that the appendix had herniated through the obturator canal. This pathology has previously been associated with an unfavourable outcome and has been reported, in the literature, in older, emaciated women.
2015: BMJ Case Reports
Noémie Summa, David Eshar, Debbie Reynolds, Deanne Caines, Ameet Singh
This brief communication describes the diagnosis and surgical treatment of bilateral perineal hernias in a 1-yr-old, intact female, striped skunk (Mephitis mephitis) that was evaluated for chronic intermittent constipation, following early age, bilateral anal sacculectomy for descenting. Complete blood count and biochemistry results were within the reference ranges. Diagnosis was based on history, physical exam, clinical signs, and diagnostic imaging. A two-stage surgical approach for treatment was performed...
September 2015: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
Scarlet Nazarian, Aravindan Narayanan, Sebastian Chang
No abstract text is available yet for this article.
2015: BMJ Case Reports
L Sutton, A Myers, C Gupte
An 82-year-old woman with longstanding medial thigh pain presented with a 5-day history of constipation, vomiting, abdominal pain and distension. She was unable to pass flatus for the preceding 24 hours and had a past history of laparoscopic abdominal surgery. Computed tomography of the abdomen and pelvis revealed a right-sided obturator hernia containing a dilated loop of small bowel. She underwent emergency surgery for a right obturator hernia repair by limited laparotomy and was discharged after an extended stay complicated by postoperative atrial fibrillation...
April 2015: Annals of the Royal College of Surgeons of England
Yohnosuke Wada, Hideo Ohtsuka, Kensuke Adachi
In this report, we highlighted the clinical manifestations of obturator hernia and focused on laparoscopic views. Given its rarity and vague symptoms, the early diagnosis of obturator hernia presents a challenge. Although delays in diagnosis cause high rates of morbidity and mortality, CT with multi-planar reformations provides an excellent means of preoperative diagnosis. Despite current progress of laparoscopic surgery, its indication is believed to be limited only in elective obturator hernia repairs because of technical difficulties associated with bowel strangulation followed by a resection anastomosis...
October 2015: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Aggouri Younes, Benhammane Hossam, Yazough Issam, Toughrai Imane, Ait Laalim Said, Ibn Majdoub Karim, Mazaz Khalid
No abstract text is available yet for this article.
2015: Pan African Medical Journal
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