Strangulated Obturator Hernia: Mesh-Plug Technique.
- Author:
Jong Dae BAE
1
;
Jung Min BAE
;
Tae Suk BAE
;
Eun A CHOI
;
Ho Geun JUNG
;
Ki Hoon JUNG
;
Byeng Ook JUNG
;
Sung Han BAE
;
Woo Sup AHN
;
Min Gu OH
Author Information
1. Department of Surgery, Dongguk University Medical College, Kyongju, Korea. jongdals@netian.com
- Publication Type:Case Report
- Keywords:
Strangulated obturator hernia;
Mesh-plug
- MeSH:
Aged;
Diagnosis;
Female;
Hernia;
Hernia, Obturator*;
Humans;
Ligation;
Mortality;
Periosteum;
Peritoneal Cavity;
Peritoneum;
Prostheses and Implants;
Sutures
- From:Journal of the Korean Surgical Society
2004;66(5):438-443
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although obturator herniae are rare, they are associated with a high mortality, as diagnosis is often delayed and the condition tends to occur in the elderly. The preoperative diagnosis is difficult because of nonspecific symptoms and sign. They often produce a small bowel obstruction. The treatment is always surgical. Several repair techniques have been described: a sac ligation alone, a direct suture repair, and the use of autologous tissue or prosthetic repair. Recently, the placement of permanent mesh prostheses, in a clean contaminated operative field, has been performed due to the minimal wound-related morbidity and patient mortality. Thus, utilization of a permanent mesh in an obturator hernia is a new, simple and effective method for repair. Two cases of a strangulated obturator hernia were experienced in elderly women. The peritoneal cavity was not overly contaminated, with only necrotic foci on the herniated small bowel wall noted. A segmental resection of the small bowel was performed. Consequently, the hernia defect was closed with mesh- plug between the peritoneum and periosteum of the obturator foramen. Here, two cases of obturator herniae treated by use of a mesh-plug are reported, with a brief review of the literature.
