Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School Musashi Kosugi Hospital.
Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School.
J Nippon Med Sch. 2023 Jun 29;90(3):301-305. doi: 10.1272/jnms.JNMS.2023_90-403. Epub 2022 May 30.
Sciatic hernia is a rare type of pelvic floor hernia. The herniated tissue can include the ureter, small and large bowel, and ovary, among other tissues. Only a few cases of laparoscopic treatment for a sciatic hernia with small-bowel incarceration have been reported. We report our experience using a laparoscopic approach for treatment of sciatic hernia in an 83-year-old woman and review the literature on sciatic hernias. The patient was referred to our hospital complaining of constipation and abdominal bloating. Computed tomography (CT) scanning showed a right sciatic hernia containing the small bowel. Laparoscopic repair of the sciatic hernia was performed using a self-fixating mesh. The patient was discharged after an uneventful postoperative course and has not developed abdominal bloating or constipation postoperatively. In conclusion, a sciatic hernia was successfully repaired using a laparoscopic trans-preperitoneal approach and ProGrip Self-Fixating Mesh.
坐骨疝是一种罕见的盆底疝。疝内容物可包括输尿管、小肠、大肠和卵巢等组织。仅少数几例腹腔镜治疗伴有小肠嵌顿的坐骨疝的病例报告。我们报告了我们使用腹腔镜方法治疗 1 例 83 岁女性坐骨疝的经验，并回顾了坐骨疝的文献。患者因便秘和腹胀就诊。计算机断层扫描（CT）显示右侧坐骨疝合并小肠。使用自固定网片行腹腔镜坐骨疝修补术。患者术后恢复顺利，无并发症，出院后未出现腹胀或便秘。总之，成功地使用腹腔镜经腹膜前途径和 ProGrip 自固定网片修复了坐骨疝。
