A case of incarcerated obturator hernia operated by laparoscopic-assisted totally extraperitoneal repair(hybrid TEP) Takuya WATANABE 1 , Naoki MASHITA 1 , Song RYO 1 , Masanori NAKAMURA 1 , Hisafumi SAITO 1 , Akira NONOGAKI 1 1Department of Surgery, Aichi Koseiren Konan Kosei Hospital Keyword: 閉鎖孔ヘルニア嵌頓 , TEP , 腹腔鏡 pp.57-62
Published Date 2018/1/15
DOI https://doi.org/10.11477/mf.4426200506
  • Abstract
  • Look Inside
  • Reference

A 86-year-old female diagnosed with a left incarcerated obturator hernia required an emergency operation. Firstly, the incarceration was released laparoscopically using 3 ports. Secondly, the mesh was placed around the hernia orifice using totally extraperitoneal repair(TEP) method.Finally, the incarcerated small intestine was removed and reconstructed through the small navel laparotomy. The postoperative course was favorable, and patient was discharged 11 days after surgery. This method could reduce mesh-related infection because intraperitoneal and extraperitoneal cavities are divided and enabled the placement of an adequate size mesh because TEP provided good view around the hernia orifice. Laparoscopic-assisted totally extraperitoneal repair(hybrid TEP) was useful for incarcerated obturator hernia.

Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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