Nguyen Minh Thao, Nguyen Van Quy
Digestive Surgery Department, Hue University of Medicine and Pharmacy Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue City, Thua Thien Hue, Vietnam.
General Surgery Department, Franco-Vietnamese Hospital, Ho Chi Minh City, Vietnam.
SAGE Open Med Case Rep. 2023 Aug 1;11:2050313X231185956. doi: 10.1177/2050313X231185956. eCollection 2023.
An obturator hernia is a rare pelvic hernia with high mortality. Early diagnosis and treatment are essential to reduce postoperative complications. The treatment of choice for obturator hernias is surgery. In an emergency, laparotomy to resolve herniated viscera and complications is often the choice. However, some researchers have shown the feasibility of laparoscopy. The laparoscopic approach has several benefits over the open approach, including reduced postoperative pain, early mobilization, shorter length of stay, and lower postoperative morbidity rates. We report the case of an 81-year-old woman with a right-side obstructed obturator hernia. The patient was hospitalized with an acute onset of inner thigh pain and bowel obstruction. The obturator hernia was diagnosed preoperatively by an abdominopelvic CT scan with the image of protrusion of an ileal loop in the right obturator foramen. The patient was treated by an emergency laparoscopy. The right obturator hernia and a concurrent right femoral hernia were confirmed during the operation. The hernia defect was repaired with a mesh large enough to cover all hernia foramen. The patient recovered without any complications. Emergency laparoscopic repair for obstructed obturator hernia was safe and effective.
闭孔疝是一种罕见的盆腔疝，死亡率高。早期诊断和治疗对于减少术后并发症至关重要。闭孔疝的首选治疗方法是手术。在紧急情况下，剖腹手术以解决疝出的内脏和并发症通常是选择。然而，一些研究人员已经证明了腹腔镜手术的可行性。腹腔镜手术方法比开放手术方法有几个优点，包括术后疼痛减轻、早期活动、住院时间缩短和术后发病率降低。我们报告了一例81岁右侧梗阻性闭孔疝女性患者的病例。患者因大腿内侧疼痛急性发作和肠梗阻入院。术前通过腹盆腔CT扫描诊断为闭孔疝，图像显示右闭孔内有一段回肠袢突出。患者接受了急诊腹腔镜手术。术中证实为右闭孔疝并伴有右侧股疝。用足够大的网片修复疝缺损以覆盖所有疝孔。患者康复，无任何并发症。急诊腹腔镜修复梗阻性闭孔疝安全有效。
