Investigation of emergency laparoscopic surgery for incarcerated obturator hernia Kenichi OYAMA 1 , Kuniyuki KATO 1 , Kei SATO 1 , Hiroyuki NITTA 2 , Koki OTSUKA 2 , Keisuke KOEDA 2 , Akira SASAKI 2 1Department of Surgery, Noshiro Public Welfare Center 2Department of Surgery, Iwate Medical University Keyword: 閉鎖孔ヘルニア , 腹腔鏡下手術 pp.495-501
Published Date 2017/7/15
DOI https://doi.org/10.11477/mf.4426200430
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We investigated the emergency laparoscopic surgical results of 20 cases with incarcerated obturator hernia(OH) and assessed the effectiveness of this operative procedure. All cases including nine cases with intestinal resection were able to be accomplished by laparoscopic surgery(LS). During endoscopic operation, bilateral OH was found in 9 out of 16 patients(56.3%). In addition, other hernias were observed in 12 out of 16 patients(75.0%). These lesions could be visually recognized by the superiority of LS in scrutiny of the pelvic cavity. Considering recurrent and metachronous hernias, we chose TAPP for OH repair to cover both entire obturator foramen and myopectineal orifice, and a two-stage hernia repair was performed for contaminated cases. As described above, LS allows detection of potential lesions. Furthermore, preventive radical operation for them can be completed by LS simultaneously. Therefore, we believe that LS for incarcerated OH is useful operative procedure.

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