Details

Autor(en) / Beteiligte

• Mitchell, Andrew
• Morera, Daley S.
• Holsten, Steven

Titel

Surgical Management of an Obturator Hernia

Ist Teil von

• The American surgeon, 2018-09, Vol.84 (9), p.403-404

Ort / Verlag

Los Angeles, CA: SAGE Publications

Erscheinungsjahr

2018

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• 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.