Totally extraperitoneal repair of obturator hernia

Kenneth Shapiro, S. Patel, C. Choy, G. Chaudry, S. Khalil, G. Ferzli

Research output: Contribution to journalReview article

47 Citations (Scopus)

Abstract

Background: One distinct advantage of the laparoscopic inguinal hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and obturator spaces. The surgeon should routinely inspect all of them. Obturator hernia accounts for as few as 0.073% of all hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for obturator hernia. Five such procedures are described. Methods: A retrospective review was undertaken to evaluate one surgeon's experience with the totally extraperitoneal repair of obturator hernia over a 4-year period. Four of five cases were completed, and the remaining case was converted to an open procedure. Results: Three hernias were on the right side, and two on the left. One patient presented with an acutely incarcerated obturator hernia and underwent a small bowel resection for strangulated bowel within the obturator space. The other four hernias were found during totally extraperitoneal repair, and the patients were discharged home several hours later. There was one complication, a midline wound infection in the patient with strangulated bowel. It was treated with dressing changes. There were no other complications, and during a follow-up period of 3 to 48 months, there was no recurrence. Conclusions: The laparoscopic totally extraperitoneal approach allows inspection and repair of direct, indirect, femoral, and obturator hernias. This study found this procedure to be feasible, safe, and highly effective for the diagnosis and repair of obturator hernias.

Original languageEnglish (US)
Pages (from-to)954-956
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Volume18
Issue number6
DOIs
StatePublished - Jun 1 2004
Externally publishedYes

Fingerprint

Obturator Hernia
Hernia
Femoral Hernia
Inguinal Hernia
Herniorrhaphy
Wound Infection
Bandages
Thigh
Recurrence
Mortality

Keywords

  • Extraperitoneal
  • Hernia
  • Laparoscopic
  • Obturator

ASJC Scopus subject areas

  • Surgery

Cite this

Totally extraperitoneal repair of obturator hernia. / Shapiro, Kenneth; Patel, S.; Choy, C.; Chaudry, G.; Khalil, S.; Ferzli, G.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 18, No. 6, 01.06.2004, p. 954-956.

Research output: Contribution to journalReview article

Shapiro, Kenneth ; Patel, S. ; Choy, C. ; Chaudry, G. ; Khalil, S. ; Ferzli, G. / Totally extraperitoneal repair of obturator hernia. In: Surgical Endoscopy and Other Interventional Techniques. 2004 ; Vol. 18, No. 6. pp. 954-956.
@article{5033b580a3d44af0a9bc4679babd9a8c,
title = "Totally extraperitoneal repair of obturator hernia",
abstract = "Background: One distinct advantage of the laparoscopic inguinal hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and obturator spaces. The surgeon should routinely inspect all of them. Obturator hernia accounts for as few as 0.073{\%} of all hernias, but the mortality rate when it is acutely incarcerated can be as high as 70{\%}. There is only one previous report of a totally extraperitoneal repair for obturator hernia. Five such procedures are described. Methods: A retrospective review was undertaken to evaluate one surgeon's experience with the totally extraperitoneal repair of obturator hernia over a 4-year period. Four of five cases were completed, and the remaining case was converted to an open procedure. Results: Three hernias were on the right side, and two on the left. One patient presented with an acutely incarcerated obturator hernia and underwent a small bowel resection for strangulated bowel within the obturator space. The other four hernias were found during totally extraperitoneal repair, and the patients were discharged home several hours later. There was one complication, a midline wound infection in the patient with strangulated bowel. It was treated with dressing changes. There were no other complications, and during a follow-up period of 3 to 48 months, there was no recurrence. Conclusions: The laparoscopic totally extraperitoneal approach allows inspection and repair of direct, indirect, femoral, and obturator hernias. This study found this procedure to be feasible, safe, and highly effective for the diagnosis and repair of obturator hernias.",
keywords = "Extraperitoneal, Hernia, Laparoscopic, Obturator",
author = "Kenneth Shapiro and S. Patel and C. Choy and G. Chaudry and S. Khalil and G. Ferzli",
year = "2004",
month = "6",
day = "1",
doi = "10.1007/s00464-003-8212-z",
language = "English (US)",
volume = "18",
pages = "954--956",
journal = "Surgical Endoscopy and Other Interventional Techniques",
issn = "0930-2794",
publisher = "Springer New York",
number = "6",

}

TY - JOUR

T1 - Totally extraperitoneal repair of obturator hernia

AU - Shapiro, Kenneth

AU - Patel, S.

AU - Choy, C.

AU - Chaudry, G.

AU - Khalil, S.

AU - Ferzli, G.

PY - 2004/6/1

Y1 - 2004/6/1

N2 - Background: One distinct advantage of the laparoscopic inguinal hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and obturator spaces. The surgeon should routinely inspect all of them. Obturator hernia accounts for as few as 0.073% of all hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for obturator hernia. Five such procedures are described. Methods: A retrospective review was undertaken to evaluate one surgeon's experience with the totally extraperitoneal repair of obturator hernia over a 4-year period. Four of five cases were completed, and the remaining case was converted to an open procedure. Results: Three hernias were on the right side, and two on the left. One patient presented with an acutely incarcerated obturator hernia and underwent a small bowel resection for strangulated bowel within the obturator space. The other four hernias were found during totally extraperitoneal repair, and the patients were discharged home several hours later. There was one complication, a midline wound infection in the patient with strangulated bowel. It was treated with dressing changes. There were no other complications, and during a follow-up period of 3 to 48 months, there was no recurrence. Conclusions: The laparoscopic totally extraperitoneal approach allows inspection and repair of direct, indirect, femoral, and obturator hernias. This study found this procedure to be feasible, safe, and highly effective for the diagnosis and repair of obturator hernias.

AB - Background: One distinct advantage of the laparoscopic inguinal hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, and obturator spaces. The surgeon should routinely inspect all of them. Obturator hernia accounts for as few as 0.073% of all hernias, but the mortality rate when it is acutely incarcerated can be as high as 70%. There is only one previous report of a totally extraperitoneal repair for obturator hernia. Five such procedures are described. Methods: A retrospective review was undertaken to evaluate one surgeon's experience with the totally extraperitoneal repair of obturator hernia over a 4-year period. Four of five cases were completed, and the remaining case was converted to an open procedure. Results: Three hernias were on the right side, and two on the left. One patient presented with an acutely incarcerated obturator hernia and underwent a small bowel resection for strangulated bowel within the obturator space. The other four hernias were found during totally extraperitoneal repair, and the patients were discharged home several hours later. There was one complication, a midline wound infection in the patient with strangulated bowel. It was treated with dressing changes. There were no other complications, and during a follow-up period of 3 to 48 months, there was no recurrence. Conclusions: The laparoscopic totally extraperitoneal approach allows inspection and repair of direct, indirect, femoral, and obturator hernias. This study found this procedure to be feasible, safe, and highly effective for the diagnosis and repair of obturator hernias.

KW - Extraperitoneal

KW - Hernia

KW - Laparoscopic

KW - Obturator

UR - http://www.scopus.com/inward/record.url?scp=2642530944&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2642530944&partnerID=8YFLogxK

U2 - 10.1007/s00464-003-8212-z

DO - 10.1007/s00464-003-8212-z

M3 - Review article

C2 - 15095078

AN - SCOPUS:2642530944

VL - 18

SP - 954

EP - 956

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

SN - 0930-2794

IS - 6

ER -