Haith L R, Simeone M R, Reilly K J, Patton M L, Moss B E, Shotwell B A
Department of Surgery, Crozer-Chester Medical Center, Upland, Pennsylvania, USA.
JSLS. 1998 Apr-Jun;2(2):191-3.
Review of international literature reveals eight reported cases of laparoscopic obturator hernia repair. Non-specific signs and symptoms make the diagnosis of an obturator hernia difficult. Laparoscopic intervention provides a minimally invasive method to simultaneously diagnose and repair these hernias.
A 35 year old woman presented with lower abdominal pain, vaginal bleeding, and dyspareunia. During gynecological diagnostic laparoscopy, a pelvic floor hernia was suspected, and a general surgical evaluation was sought. At a subsequent laparoscopy, the diagnosis of a left direct inguinal and a right obturator hernia was made. Both were repaired laparoscopically with polypropylene mesh.
At follow-up at one and six weeks postoperatively, the patient's complaints of pain had completely resolved.
The diagnosis of obturator hernia is problematic. The usual presenting signs and symptoms are non-specific. Without conclusive historical or physical findings, laparoscopy is an excellent method for diagnosing obturator hernia. This entity, once diagnosed laparoscopically, can be repaired simultaneously via laparoscopic mesh technique.
对国际文献的回顾显示，有8例腹腔镜闭孔疝修补术的报道病例。非特异性的体征和症状使得闭孔疝的诊断困难。腹腔镜干预提供了一种微创方法，可同时诊断和修复这些疝。
一名35岁女性出现下腹痛、阴道出血和性交困难。在妇科诊断性腹腔镜检查期间，怀疑有盆底疝，并寻求普通外科评估。在随后的腹腔镜检查中，诊断出左侧直疝和右侧闭孔疝。两者均通过腹腔镜用聚丙烯网片修补。
术后1周和6周随访时，患者的疼痛主诉已完全缓解。
闭孔疝的诊断存在问题。常见的体征和症状是非特异性的。在没有确凿的病史或体格检查结果的情况下，腹腔镜检查是诊断闭孔疝的一种极好方法。一旦通过腹腔镜诊断出这种疾病，可通过腹腔镜网片技术同时进行修复。
