Surgical Management of an Obturator Hernia

The condition carries high morbidity and mortality rates (up to 50%) compared with other abdominal wall hernias.2 The disease carries a 6:1 female predominance and is typically found in the elderly and frail.1 The condition is nearly always acquired; however, there have been two reports of pediatric...

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Bibliographic Details
Published in:The American surgeon 2018-09, Vol.84 (9), p.403-404
Main Authors: Mitchell, Andrew, Morera, Daley S., Holsten, Steven
Format: Article
Language:English
Subjects:
Abdomen
Abdominal wall
Defects
Gangrene
Geriatrics
Hernia
Hernias
Intestine
Ischemia
Laparoscopy
Maintenance
Mitchell, Andrew
Morbidity
Mortality
Neuralgia
Older people
Orifices
Pain
Patients
Surgery
Thigh
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Summary:The condition carries high morbidity and mortality rates (up to 50%) compared with other abdominal wall hernias.2 The disease carries a 6:1 female predominance and is typically found in the elderly and frail.1 The condition is nearly always acquired; however, there have been two reports of pediatric obturator hernias in patients with a congenitally large foramen.1 The classical presentation is symptoms of intestinal obstruction with or without thigh/groin pain. [...]of the approach, the bowel is reduced using gentle traction after stretching of the ring with a finger or instrument. Because of the small orifice and frequency of intestinal ischemia, rupture can occur if the reduction is not performed carefully. Rolled up mesh or "cigar roll" repairs have also been described, but their use has been associated with postoperative obturator neuralgia.3 In cases with multiple pelvic floor hernias, a large sheet mesh can be placed laparoscopically similar to a bilateral inguinal hernia repair.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481808400923