Mesh-Plug 술식으로 치료한 교액성 폐쇄공 탈장

• Published in: Annals of surgical treatment and research Vol. 66; no. 5; pp. 438 - 443
• Main Authors: 배종대(Jong Dae Bae), 배정민(Jung Min Bae), 배태석(Tae Suk Bae), 최은아(Eun A Choi), 정호근(Ho Geun Jung), 정기훈(Ki-Hoon Jung), 정병욱(Byeng Ook Jung), 배성한(Sung Han Bae), 안우섭(Woo Sup Ahn), 오민구(Min Gu Oh)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.05.2004
• Subjects: 일반외과학; Mesh-plug; Strangulated obturator hernia; 메쉬-플러그; 교액성 폐쇄공 탈장
• ISSN: 2288-6575; 2288-6796

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. KCI Citation Count: 1