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  • Title: Incarcerated obturator hernia treated using a hybrid laparoscopic and anterior preperitoneal approach: A case report.
    Author: Yamazaki Y, Otowa Y, Kusano S, Nakajima K, Satake S, Yamasaki Y.
    Journal: Asian J Endosc Surg; 2018 Aug; 11(3):277-279. PubMed ID: 29316322.
    Abstract:
    Obturator hernia (OH) is a rare cause of bowel obstruction. Although several surgical approaches, including the laparoscopic approach, have been reported to date, a standard approach for treating OH has not been established. A 101-year-old woman who presented with constipation and vomiting was admitted to our hospital. CT revealed an incarcerated small bowel within the left obturator foramen, and a diagnosis of left-sided incarcerated OH with small bowel ileus was made. With the patient under general anesthesia, exploratory laparoscopy was performed; we identified an OH with an incarcerated small bowel, which was judged viable after hernia reduction. We repaired the hernia using an anterior preperitoneal approach under laparoscopic assistance and placed a prosthetic mesh over the obturator foramen. The patient recovered with no postoperative complications and was discharged on postoperative day 4. A hybrid laparoscopic and anterior preperitoneal approach is safe and effective for treating an incarcerated OH in an elderly patient.
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