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Obturator hernia

Daniel D Droukas, Mark P Zoland, Devon A Klein
Groin pain is a common complaint in the general population, with an underlying etiology that may be difficult to diagnose. Although uncommon, type I obturator hernias may be a significant source of chronic or refractory groin pain. In this review, we discuss the commonly missed findings of type I obturator hernias at CT and MRI, as well as correlate these findings with images obtained at the time of laparoscopic repair.
January 31, 2019: Clinical Imaging
Jonathan Ramkumar, Daphne Lu, Tracy Scott
Abdominal wall hernias are prevalent in patients undergoing peritoneal dialysis (PD). Obturator hernias, first described by Arnaud de Ronsil in 1724, are an uncommon type of hernia where intra-abdominal contents protrude through the obturator foramen. The following case highlights a rare presentation of bilateral obturator hernias with right femoral and inguinal hernia in an 82-year-old woman post-PD. This patient presented with 5 months of bilateral thigh pain and swelling and was found to only have a right-sided obturator hernia on computer tomography (CT) scan...
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Andrew Mitchell, Daley S Morera, Steven Holsten
No abstract text is available yet for this article.
September 1, 2018: American Surgeon
John D Gilbert, Roger W Byard
An 84-year-old woman with a history of weight loss, anorexia and episodic vomiting was admitted to hospital where she died soon afterwards. Her diagnosis was acute renal injury due to dehydration and malnutrition. At autopsy the body was cachectic with a small intestinal obstruction due to herniation through a defect at the anterolateral aspect of the obturator foramen. A poorly differentiated adenocarcinoma of the gastroesophageal junction was also identified with small peripheral pulmonary thromboemboli. Death was due to small bowel obstruction from a left obturator hernia with scattered peripheral pulmonary thromboemboli complicating cachexia due to gastroesophageal adenocarcinoma...
November 5, 2018: Forensic Science, Medicine, and Pathology
R Sharma, N Fadaee, E Zarrinkhoo, S Towfigh
PURPOSE: As more mesh is implanted for hernia repairs, mesh-related complications may increase, with some requiring mesh removal. We describe our experience as to indications and perioperative factors that surround hernia mesh removal. METHODS: All patients who underwent hernia mesh removal from the abdomen (ventral, flank) and pelvis (inguinal, femoral, obturator, perineal) were captured from a single hernia center database. RESULTS: Over 4...
December 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Naoto Chihara, Hideyuki Suzuki, Makoto Sukegawa, Ryosuke Nakata, Tsutomu Nomura, Hiroshi Yoshida
PURPOSE: Management strategies for acutely incarcerated/strangulated groin and obturator hernias may differ from institution to institution, although, conventionally, the open approach has been used. Recently, laparoscopic transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair have become commonly used operative procedures for the repair of groin hernias. It is unclear whether laparoscopic reduction and herniorrhaphy can be successfully accomplished in all cases...
October 27, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Kusay Ayoub, Nihad Mahli, M Fateh Dabbagh, Bashar Banjah, Bassel Banjah
Introduction: Although relatively rare, an obturator hernia is a significant cause of intestinal obstruction. It usually occurs in emaciated elderly females. Computed tomography is the imaging modality of choice to diagnose obturator hernias. Case report: In this report we present a case of an elderly female who presented to the emergency department with features suggesting bowel obstruction. The patient was admitted to the hospital and was initially managed conservatively...
December 2018: Annals of Medicine and Surgery
Kentaro Fukushima, Takahide Yokoyama, Shiro Miwa, Hiroaki Motoyama, Takuma Arai, Noriyuki Kitagawa, Akira Shimizu, Tsuyoshi Notake, Toshiki Kikuchi, Akira Kobayashi, Shin-Ichi Miyagawa
BACKGROUND: How increasing age affects the characteristics of groin hernia remains uncertain. This study evaluated the association between age and the type of groin hernia, especially with respect to its multiplicity, observed during laparoscopic transabdominal preperitoneal (TAPP) hernia repair. METHODS: We retrospectively evaluated 634 consecutive patients with primary groin hernia who underwent laparoscopic TAPP repair between October 2000 and June 2017. Patients were stratified into 4 age groups: < 60 years, 60-69 years, 70-79 years, and 80 years or older...
October 24, 2018: Surgical Endoscopy
Y Hisamatsu, M Yamagata, M Miyazaki, H Wang, S Tanaka, T Yoshida, A Fukuda, T Sonoda
PURPOSE: The purpose of this study was to identify any potential correlation between postoperative mortality and bowel resection in patients with obturator hernias. METHODS: In total, 21 patients who underwent emergency surgery for a primary incarcerated obturator hernia during a 9-year period were retrospectively assessed regarding the correlation between postoperative mortality within 30 days from surgery and bowel resection. RESULTS: The 21 hernias occurred in 20 women and 1 man...
October 16, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Suresh Munugani, Peter Freeman, Robert Franz, Bhavik Patel
No abstract text is available yet for this article.
October 10, 2018: ANZ Journal of Surgery
Allan M F Kwok, Mina Sarofim
No abstract text is available yet for this article.
October 8, 2018: ANZ Journal of Surgery
Andrew Mitchell, Daley S Morera, Steven Holsten
No abstract text is available yet for this article.
September 1, 2018: American Surgeon
Andrew Mitchell, Daley S Morera, Steven Holsten
No abstract text is available yet for this article.
September 1, 2018: American Surgeon
A Bernardé, P Rochereau, L Matres-Lorenzo, H Brissot
OBJECTIVES: To report the short- and long-term outcomes and recurrence rate in dogs treated for apparently unilateral perineal hernia with bilateral herniorrhaphy, castration, colopexy, vas deferens pexy with or without cystopexy in single-stage procedures. MATERIALS AND METHODS: Thirty-one client-owned dogs with apparently unilateral perineal hernia were included. Perineal hernias were repaired bilaterally, incorporating internal obturator muscle transposition and the sacro-tuberal ligament, combined with colopexy, vas deferens pexy with or without cystopexy...
September 27, 2018: Journal of Small Animal Practice
Mark P Zoland, Joseph C Iraci, Srino Bharam, Leah E Waldman, John P Koulotouros, Devon Klein
Background: "Athletic pubalgia," a term that has gained acceptance over "sports hernia," is more common in men than women; however, it represents a significant source of morbidity for patients of both sexes. Inconsistent terminology surrounding this entity poses a diagnostic challenge and makes studying the populations at risk difficult. Purpose: To review a case series of women with athletic pubalgia by analyzing their presentations, concomitant pathologies, and surgical outcomes...
September 2018: Orthopaedic Journal of Sports Medicine
Dimitra Daskalopoulou, Joseph Kankam, Jens Plambeck, Peter C Ambe, Konstantinos Zarras
Background: Bowel incarceration represents a dreaded complication amongst patients with hernias. The intraoperative evaluation of the bowel perfusion following hernia reduction with regard to the need for resection of ischaemic bowel can be challenging. In this case report we discuss intraoperative fluorescence angiography with indocyanine green (ICG) as an objective means of accessing bowel perfusion following hernia reduction. Case presentation: The case of a 92-year-old, caucasian, female patient presenting with symptoms of small bowel obstruction secondary to an incarcerated left sided obturator hernia is presented...
2018: Patient Safety in Surgery
Efstathios Pavlidis, Christoforos Kosmidis, Konstantinos Sapalidis, Alexandros Tsakalidis, Dimitrios Giannakidis, Vasileios Rafailidis, Georgios Koimtzis, Isaak Kesisoglou
Obturator hernias are exceedingly rare in surgical routine, constituting 0.073% of all intra-abdominal hernias in the West and 1% in the far East. Commonly known as 'little old lady's hernia', obturator hernias are usually seen in frail, octogenarian multiparous women. This case report discusses an 85-year-old female who had symptoms of acute bowel obstruction; thanks to high degree of clinical suspicion and aided by a computed tomography (CT) of abdomen and pelvis, an incarcerated right obturator hernia was diagnosed preoperatively and treated successfully...
July 2018: Journal of Surgical Case Reports
Jong Hwan Jung, Ju Hung Song, Seon-Ho Ahn
No abstract text is available yet for this article.
June 2018: Kidney Research and Clinical Practice
I Eguaras-Córdoba, P Sánchez-Acedo, B Fernández-Velilla San José, I Otegi Altolagirre, A Goikoetxea Urdiain, J Mateo Retuerta, A Hernando Sanz
Hernia pathology accounts for a large percentage of urgent surgical interventions. Obturator hernia is rare, usually presenting as a picture of acute intestinal occlusion. The aim of the study is to analyze the experience in a third level hospital in the diagnosis and treatment of obturator hernia, as well as to detect those signs that allow an early diagnosis. This is a prospective observational study, which included patients operated on urgently for obturator hernia between 2000 and 2016. For the registration of postoperative morbidity, the Clavien-Dindo classification was used...
August 29, 2018: Anales del Sistema Sanitario de Navarra
Long-Zhi Zheng, Wei Lin, Jian Guo, Si-Zeng Chen
No abstract text is available yet for this article.
November 15, 2018: Balkan Medical Journal
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