Miladinovic Danjel, Buxey Kenneth
Griffith Base Hospital, NSW, Australia; South-Eastern Sydney Network Prince of Wales Hospital, Prince of Wales Hospital, Avoca Street, Sydney, NSW, Australia; University of NSW, Sydney, Australia.
Griffith Base Hospital, NSW, Australia; Sandringham Hospital, Alfred Health, Australia.
Int J Surg Case Rep. 2023 Apr;105:108066. doi: 10.1016/j.ijscr.2023.108066. Epub 2023 Mar 28.
Small bowel obstruction secondary to an obturator hernia is a rare presentation associated with high mortality. Prior to the development of laparoscopic surgery, a laparotomy would have been the management technique of choice for this rare presentation.
An elderly female with a bowel obstruction secondary to an obturator hernia presented via the Emergency Department. A laparoscopic approach with the use of a haemostatic gauze plug was performed to repair the defect.
The evolution of surgical techniques, particularly with laparoscopy has resulted in overall benefits regarding patient outcomes. These benefits include lower post operative morbidity, shorter length of stay and decreased post operative pain. This report discusses a laparoscopic approach and the use of a gauze plug to manage an emergent small bowel obstruction secondary to an obturator hernia.
The use of a haemostatic gauze agent is an alternate and potentially advantageous approach for an obturator hernia repair in the emergency setting.
闭孔疝继发小肠梗阻是一种罕见的表现，死亡率高。在腹腔镜手术发展之前，剖腹手术一直是这种罕见病症的首选治疗技术。
一名因闭孔疝继发肠梗阻的老年女性通过急诊科就诊。采用腹腔镜方法并使用止血纱布塞修复缺损。
手术技术的发展，尤其是腹腔镜技术的发展，已在患者预后方面带来了总体益处。这些益处包括较低的术后发病率、较短的住院时间和减轻的术后疼痛。本报告讨论了一种腹腔镜方法以及使用纱布塞治疗闭孔疝继发的急性小肠梗阻。
在紧急情况下，使用止血纱布剂是一种用于闭孔疝修复的替代且可能具有优势的方法。
