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Japanese

A case of obturator hernia repaired by laparoscopic operation Sohei MATSUMOTO 1 , Tomoyoshi TAKAYAMA 1 , Masato UENO 1 , Kohei WAKATSUKI 1 , Koji ENOMOTO 1 , Yoshiyuki NAKAJIMA 1 1Department of Surgery, Nara Medical University Keyword: 閉鎖孔ヘルニア , 腹腔鏡下ヘルニア修復術 pp.299-305
Published Date 2009/6/15
DOI https://doi.org/10.11477/mf.4426100340
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 We report a case of laparoscopic bilateral obturator hernia repair who was preoperatively diagnosed by computed tomography. The patient, a-79-year-old woman, had severe lower abdominal pain and vomiting when she was hospitalized for the treatcment of subarachnoid hemorrhage. On physical examination she had revealed abdominal distension and tenderness, although neither Blumberg nor Howship-Romberg's sign was noted. A computed tomography scan revealed bilateral cystic masses lying deep to the superior pubic ramus and behind the pectineal muscle. The patient underwent laparoscopic surgery under general anesthesia. An incarceration of the small intestine was observed in the left obturator canal, and was reduced by tractioning the intestine. There was no incarceration in the right obturator canal. The hernia sac was turned over internally, and ligated. The postoperative recovery was uneventful. Laparoscopic minimally invasive surgery is an appropriate and reliable treatment for an obturator hernia.


Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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