Abstract：
BACKGROUND: Obturator hernia is an infrequent pelvic hernia observed in elderly, emaciated and multiparous women. It often presents with nonspecific clinical symptoms, making it difficult to diagnose.
METHODS: We conducted a retrospective descriptive study on 11 patients admitted to our hospital for obturator hernia from 2009 to 2020.
RESULTS: All the patients were diagnosed with intestinal obstruction due to incarcerated obturator hernia preoperatively. Eight patients underwent laparotomy with low midline incision. Laparoscopic approach was tried on the other three patients with two patients converting to open surgery because of inadequate visualization, and only one patient received laparoscopic repair. Of the 10 patients receiving laparotomy, seven cases received obturator hernia repair with a match and three cases were subjected to bowel resection (two cases intestinal necrosis and one case intestinal perforation). Simple peritoneal closure was performed on the three contaminated cases. One patient died of septic shock and multiple organ failure.
CONCLUSIONS: The emergent computed tomography allow for early and precise diagnosis of incarcerated obturator hernia. Laparotomy with low midline incision is commonly used to manage obturator hernia in an emergency, whereas laproscopic approach may only apply to some selected cases.
METHODS: We conducted a retrospective descriptive study on 11 patients admitted to our hospital for obturator hernia from 2009 to 2020.
RESULTS: All the patients were diagnosed with intestinal obstruction due to incarcerated obturator hernia preoperatively. Eight patients underwent laparotomy with low midline incision. Laparoscopic approach was tried on the other three patients with two patients converting to open surgery because of inadequate visualization, and only one patient received laparoscopic repair. Of the 10 patients receiving laparotomy, seven cases received obturator hernia repair with a match and three cases were subjected to bowel resection (two cases intestinal necrosis and one case intestinal perforation). Simple peritoneal closure was performed on the three contaminated cases. One patient died of septic shock and multiple organ failure.
CONCLUSIONS: The emergent computed tomography allow for early and precise diagnosis of incarcerated obturator hernia. Laparotomy with low midline incision is commonly used to manage obturator hernia in an emergency, whereas laproscopic approach may only apply to some selected cases.
摘要：
背景：闭孔疝是在老年人中观察到的罕见的盆腔疝，瘦弱和多胎的妇女。它通常表现为非特异性临床症状，很难诊断。
方法：我们对2009年至2020年我院收治的11例闭孔疝患者进行了回顾性描述性研究。
结果：所有患者术前均诊断为闭孔疝嵌顿性肠梗阻。8例患者接受低中线切口开腹手术。对其他3例患者尝试了腹腔镜方法，其中2例因可视化不足而转为开放手术，只有一名患者接受了腹腔镜修复。在接受剖腹手术的10名患者中，7例患者行闭孔疝修补术与1例吻合，3例患者行肠切除术（2例肠坏死，1例肠穿孔）。对三例受污染的病例进行了简单的腹膜闭合。1例患者死于感染性休克和多器官功能衰竭。
结论：紧急CT允许早期和精确诊断嵌顿闭孔疝。低中线切口开腹手术通常用于在紧急情况下治疗闭孔疝，而腹腔镜方法可能只适用于某些选定的病例。
方法：我们对2009年至2020年我院收治的11例闭孔疝患者进行了回顾性描述性研究。
结果：所有患者术前均诊断为闭孔疝嵌顿性肠梗阻。8例患者接受低中线切口开腹手术。对其他3例患者尝试了腹腔镜方法，其中2例因可视化不足而转为开放手术，只有一名患者接受了腹腔镜修复。在接受剖腹手术的10名患者中，7例患者行闭孔疝修补术与1例吻合，3例患者行肠切除术（2例肠坏死，1例肠穿孔）。对三例受污染的病例进行了简单的腹膜闭合。1例患者死于感染性休克和多器官功能衰竭。
结论：紧急CT允许早期和精确诊断嵌顿闭孔疝。低中线切口开腹手术通常用于在紧急情况下治疗闭孔疝，而腹腔镜方法可能只适用于某些选定的病例。
