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Case Report
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| Laparoscopic transabdominal pre-peritoneal obturator hernia repair: An operative technique | ||||||
| Mihir M Shah1, Jean-Pierre Marctucci1, Kevin El-Hayek2, Ashley Valentine3, David Baringer2 | ||||||
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1MD, Resident, General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
2MD, Fellow, General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA. 3PA-C, Physician’s Assistant, General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA. | ||||||
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| How to cite this article: |
| Shah MM, Marctucci JP, El-Hayek K, Valentine A, Baringer D. Laparoscopic transabdominal pre-peritoneal obturator hernia repair: Operative technique and review of literature. International Journal of Case Reports and Images 2013;4(6):312–315. |
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Abstract
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Introduction:
Obturator hernia is a rare form of hernia that tends to occur in elderly emaciated women, and is typically associated with chronic diseases. Delay in clinical presentation and difficulty in diagnosis contribute significantly to the morbidity and mortality of this disease which can approach 13–40%. Treatment is always surgical and in most cases it is performed via an emergent laparotomy.
Case Report: We report a case of a 59-year-old female who presented with right labial swelling and was diagnosed with an obturator hernia based on history and physical exam. An elective laparoscopic transabdominal pre-peritoneal (TAPP) approach was used to repair a non-strangulated obturator hernia. We highlight the role of a laparoscopic repair and describe the technique used. Conclusion: A high index of suspicion for female patients with vaginal swelling or pain may prevent the eventual morbidity and mortality associated with stage 3 obturator hernia with incarceration. In this case report, we present a case of early detection of stage 1 obturator hernia which was successfully repaired using concepts of a TAPP approach. Outpatient laparoscopic repair of obturator hernia resulted in symptomatic relief at a three-week follow-up. Laparoscopic approach may be useful for the repair of a non-strangulated obturator hernia, particularly if diagnosed in its early stages. | |
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Keywords:
Obturator hernia, Obturator foramen, Obturator nerve, Laparoscopic transsabdominal pre-peritoneal repair
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Author Contributions
Mihir Shah – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Jean-Pierre Martucci – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Kevin El-Hayek – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Ashley Valentine – Acquisition of data, Drafting the article, Final approval of the version to be published David Baringer – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Mihir Shah et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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