THREE CASES OF STRANGULATED OBTURATOR HERNIA REPAIRED BY THE INGUINAL APPROACH UNDER LOCAL ANESTHESIA

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  • 局所麻酔,鼠径法の手術によって治療した閉鎖孔ヘルニアの3例

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Abstract

Three cases of strangulated obturator hernia repaired by the inguinal approach under local anesthe-sia (IALA) are described. Patient 1, an 81-year-old woman, was diagnosed as having left strangulated obturator hernia. Complicated with chronic respiratory failure and cor pulmonale, the patient was operated on by IALA. Patient 2, an 84-year-old woman, was also diagnosed as having left strangulated obturator hernia. Since she developed sepsis and acute renal failure during the clinical course, the operation by IALA was choiced. Patient 3, an 85-year-old woman, was diagnosed as having right strangulated obturator hernia. An operation by IALA was employed because she was in hypovolemic state.<br> Obturator hernia occurs in old, highly emaciated women complicated with intestinal obstruction, and hence less invasive and more suitable operation is required. The operation by IALA is thought to be more appropriate procedure for strangulated obturator hernia.

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