Obturator hernia: a new device in mesh repair

SummaryObturator hernia is a rare cause of bowel obstruction which occurs mostly in elderly patients. Because symptoms are non-specific and hernia is rarely detectable on physical examination, preoperative diagnosis is difficult. Delay in diagnosis frequently leads to strangulation of the hernia and...

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Published inHernia : the journal of hernias and abdominal wall surgery Vol. 4; no. 3; pp. 155 - 158
Main Authors DE LEO, S, GULLA, N, PATRITI, Alberto, BUFALARI, A, CAPITANUCCI, L, CIACCIO, V, TRISTAINO, B
Format Journal Article
LanguageEnglish
Published Paris Springer 01.09.2000
Springer Nature B.V
Subjects
Biological and medical sciences
Case reports
Diagnosis
Hernia
Intestine
Medical sciences
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Human
Case study
Hernia
Obturator foramen
Abdominal disease
Surgery
Technique
Mesh method
Elderly
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Summary:SummaryObturator hernia is a rare cause of bowel obstruction which occurs mostly in elderly patients. Because symptoms are non-specific and hernia is rarely detectable on physical examination, preoperative diagnosis is difficult. Delay in diagnosis frequently leads to strangulation of the hernia and bowel resection so mortality remains high (25%). Although several techniques of obturator hernia repair have been described, surgical repair has not been standardized. We report a case of obturator hernia in a male patient previously operated on for inguinal hernia. It was discovered while operating for suspected recurrence of the right inguinal hernia. A new technical device which consists of the use of metal anchors allowed precise positioning of the mesh and avoids future dislocation.
ISSN:1265-4906
1248-9204
DOI:10.1007/BF01207594