A Review of 13 Cases of Obturator Hernia

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  • KOHI Shiro
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • SATO Norihiro
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • MORI Yasuhisa
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • UEHARA Toshihito
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • TAMURA Toshihisa
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • MINAGAWA Noritaka
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • TORIGOE Takayuki
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • SHIBAO Kazunori
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • HIGURE Aiichiro
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • YAMAGUCHI Koji
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan

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Other Title
  • 閉鎖孔ヘルニア13例の検討
  • ヘイサコウ ヘルニア 13レイ ノ ケントウ

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Abstract

We reviewed clinical features of patients who we treated for obturator hernia. The subjects were 13 patients who underwent an operation for obturator hernia in our hospital between April 2002 and December 2012. The mean age was 78.5 years, and all patients were female. The mean body mass index was 16.8 kg/m2. The Howship-Romberg sign was present in only 3 patients. All patients were correctly diagnosed by preoperative pelvic computed tomography. All patients underwent operation. Operative procedures included the laparoscopic approach in 8 patients, the open approach in 3 patients and the inguinal approach in 2 patients. The hernia hilus was repaired with a simple closure in 5 patients, and with a mesh in 8 patients. The hernia contents were small intestine in all the patients. Three patients underwent partial resection of the small intestine because of necrosis of the intestine wall. Three patients had a recurrence of the obturator hernia. In our present series, the patients with obturator hernia were slender females at an advanced age. Plevic CT was useful for the diagnosis of obturator hernia.

Journal

  • Journal of UOEH

    Journal of UOEH 35 (4), 273-277, 2013-12-01

    The University of Occupational and Environmental Health, Japan

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