Abstract：
An 80-year-old woman presented to our emergency department with vomiting which had begun half a day prior to presentation. She had undergone open mesh plug repair for a right obturator hernia 1 year prior to presentation. Computed tomography detected recurrence of the right obturator hernia. Since intestinal viability was maintained, manual reduction of the incarcerated intestine was performed. The patient was admitted to our department to monitor delayed intestinal perforation. Laparoscopic transabdominal preperitoneal repair for obturator hernia was performed 5 days after admission. A self-fixating mesh was placed over the obturator hernia defect and femoral ring without tacking. The patient was discharged on postoperative day 6 without postoperative complications. At the 4-month follow-up, no signs of hernia recurrence or neuropathy were observed. Laparoscopic transabdominal preperitoneal repair for recurrent obturator hernia status post-open mesh plug repair by using self-fixating mesh is a safe and suitable procedure.
摘要：
一名80岁的妇女出现在我们的急诊科，呕吐是在报告前半天开始的。在就诊前1年，她接受了右侧闭孔疝的开放式网塞修复术。计算机断层扫描检测到右闭孔疝复发。由于保持了肠道活力，对嵌顿的肠进行手动复位.该患者被送往我们部门以监测延迟性肠穿孔。入院后5天进行腹腔镜经腹腹膜前修补术治疗闭孔疝。将自固定网片放置在闭孔疝缺损和股骨环上，而无需固定。患者于术后第6天出院，无术后并发症。在4个月的随访中，未观察到疝气复发或神经病变的征象.腹腔镜经腹腹膜前修补术治疗复发性闭孔疝状态，使用自固定网片进行开放式网塞修补术是一种安全且合适的手术。
