PDF(Pubmed)
Abstract：
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.
摘要：
闭孔疝是一种罕见的盆腔疝，死亡率高。早期诊断和治疗对减少术后并发症至关重要。闭孔疝的治疗选择是手术。在紧急情况下,开腹手术解决内脏疝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检查的可行性。腹腔镜方法比开放方法有几个好处，包括减少术后疼痛，早期动员,停留时间较短，术后发病率较低。我们报告了一名81岁的女性，患有右侧闭孔疝。该患者因大腿内侧疼痛和肠梗阻而住院。术前通过腹骨盆CT扫描诊断出闭孔疝，并显示右闭孔孔回肠环突出的图像。患者接受了紧急腹腔镜检查。术中确认了右闭孔疝和并发的右股疝。疝缺损用足够大的网片修复，以覆盖所有疝孔。患者康复，无任何并发症。急诊腹腔镜下闭孔疝修补术是安全有效的。
