Two Cases of Obturator Hernia Treated by Laparoscopic Repair after Reduction Under Ultrasonography

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 77; no. 5; pp. 1241 - 1245
• Main Authors: HAYASHI, Kengo, KOTAKE, Masanori, HADA, Masahiro, KATO, Yosuke, HIRANUMA, Chikashi, HARA, Takuo
• Format: Journal Article
• Language: Japanese; English
• Published: Japan Surgical Association 2016
• Subjects: laparoscopic obturator hernia repair; obturator hernia; self–gripping mesh
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.77.1241

An 88-year-old woman presented to the emergency department of our hospital with symptoms of ileus. Computed tomography revealed a left obturator hernia with small intestinal incarceration. We performed manual reduction under ultrasound guidance, followed by elective laparoscopic surgery. The second patient was a 77-year-old woman who presented to our hospital with a chief complaint of stomach ache. Computed tomography revealed a right obturator hernia with small intestinal incarceration. We performed elective laparoscopic surgery after manual reduction under ultrasound guidance. Laparoscopy revealed a bilateral obturator hernia ; hence, we performed bilateral repair with Paritex ProGripTM Mesh (Covidien). The postoperative course was good, and at 1-year follow-up, there was no sign of recurrence. An obturator hernia without strangulation can be treated with elective laparoscopic surgery after manual reduction, and hernia repair with self-gripping mesh is effective in preventing injury to the obturator nerve and corona mortis.