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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (03): 285-287. doi: 10.3877/cma.j.issn.1674-392X.2021.03.018

• Clinical Article • Previous Articles     Next Articles

arly diagnosis and laparoscopic treatment of incarcerated obturator hernia

Chunhai Guo1, Yongzhe Wu1, Huazhi Li1, Zongbei Li1, Jinping Wei1, Hongli Cui1, Chen Xu1,()   

  1. 1. Department of General Surgery, Beijing Chuiyangliu Hospital, Beijing 100022, China
  • Received:2020-09-03 Online:2021-06-18 Published:2021-07-14
  • Contact: Chen Xu

Abstract:

Objective

To summarize the causes of incarcerated obturator hernia, the key points of early diagnosis and the matters needing attention of one-stage laparoscopic tension-free preperitoneal repair.

Methods

The clinical data of 5 patients with incarcerated obturator hernia in Beijing Chuiyangliu Hospital from June 2015 to May 2020 were retrospectively analyzed.

Results

The 5 patients with intestinal incarceration were all elderly women, and 1 patient died due to delayed preoperative diagnosis. The other 4 patients with early diagnosis completed laparoscopic exploration and transabdominal preperitoneal (TAPP) tension-free repair, and recovered well after the operation.

Conclusion

Incarcerated obturator herniahas a dangerous progression, and can be diagnosed early by careful history collection, rigorous physical examination and CT examination.Based on early diagnosis, laparoscopic exploration and one-stage TAPP repair are safe and effective.

Key words: Incarcerated obturator hernia, Early diagnosis, Laparoscopic exploration, Tension-free repair

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