Sun Zhaokun, Tang Liming, Wu Zhifeng, Hu Gengyuan, Xu Miaojun
School of Medicine, Shaoxing University, Shaoxing, Zhejiang, China.
Department of Vascular Hernia Surgery, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.
Eur J Med Res. 2025 May 19;30(1):396. doi: 10.1186/s40001-025-02646-9.
This retrospective cohort study aims to compare perioperative outcomes between laparoscopic and open surgical repair of obturator hernia, a rare but clinically significant abdominal wall hernia.
We analyzed 13 consecutive patients with CT-confirmed obturator hernia causing small bowel obstruction (2017-2023). Six underwent open repair and seven received laparoscopic transabdominal preperitoneal (TAPP) repair with mesh. Outcomes included operative time, blood loss, hospitalization duration, and CRP levels.
Laparoscopic repair significantly reduced hospitalization duration (median 7 vs. 13 days; P = 0.049) and postoperative inflammation (CRP 10.66 vs. 79.07 mg/L; P = 0.003), with less blood loss (10 vs. 30 mL; P = 0.001). No recurrences occurred during 12-month follow-up.
Laparoscopic obturator hernia repair demonstrates advantages in reducing hospital stay, minimizing surgical trauma, and attenuating systemic inflammatory response as compared to open approach. However, larger multicenter studies are warranted to validate these findings given the limited sample size.
本回顾性队列研究旨在比较腹腔镜手术与开放手术修复闭孔疝（一种罕见但具有临床意义的腹壁疝）的围手术期结局。
我们分析了13例经CT确诊为闭孔疝并导致小肠梗阻的连续患者（2017 - 2023年）。6例接受开放修复，7例接受腹腔镜经腹腹膜前（TAPP）补片修复。结局指标包括手术时间、失血量、住院时间和CRP水平。
腹腔镜修复显著缩短了住院时间（中位数7天对13天；P = 0.049）并减轻了术后炎症（CRP 10.66 mg/L对79.07 mg/L；P = 0.003），失血量也更少（10 mL对30 mL；P = 0.001）。在12个月的随访期间未发生复发。
与开放手术相比，腹腔镜闭孔疝修复在缩短住院时间、减少手术创伤和减轻全身炎症反应方面具有优势。然而，鉴于样本量有限，需要更大规模的多中心研究来验证这些发现。
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