A case of laparoscopic mesh sheet repair for recurrent obturator hernia with a history of mesh plug repair for inguinal hernia Kenta HORITA 1 , Yugo MATSUI 1 , Satoshi ISHIDA 1 , Masaki YAMADA 1 , Ryuichi MIKAMI 1 , Teppei MURAKAMI 1 1Department of Surgery, Kobe City Hospital Organization Kobe City Center West Hospital Keyword: 閉鎖孔ヘルニア , 腹腔鏡下手術 , 再発 pp.937-942
Published Date 2018/11/15
DOI https://doi.org/10.11477/mf.4426200645
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 An 86-year-old female presented to our hospital with right lower abdominal pain and vomiting. Abdominal computed tomography(CT) scan showed intestinal obstruction and a right incarcerated obturator hernia requiring an emergency operation. We chose to cover the hernia with the uterus and oviduct due to her history of mesh plug repair for right inguinal hernia. After 7 months of the first repair, recurrence of right incarcerated obturator hernia occurred and lead to emergency laparoscopy. The uterus and oviduct patch were worn off and a Richter type hernia had occurred. After removing the small intestine and confirming its viability, we performed mesh sheet repair. Laparoscopic approach is minimally invasive and useful for assessing the viability of the incarcerated intestine. Laparoscopic mesh sheet repair is superior in terms of recurrence prevention.

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