248 Rectus flap for repair of Strangulated Obturator Hernia
نویسندگان
چکیده
Abstract Introduction Obturator hernia (OH) is a rare abdominal wall which commonly presents as small bowel obstruction. Surgical options include suture repair or use of autologous tissue mesh when primary not feasible. We describe case involving the rectus abdominus muscle to large OH. Case report An 81-year-old female presented with three days distension and vomiting. A computerised tomography scan confirmed obstruction due an obstructed left At laparotomy, short segment non-viable distal ileum was reduced from sac resected anastomosis. The obturator defect amenable for approximation concerns possible infection, ipsilateral belly mobilised anterior sheath, routed extra-peritoneally plug without tension. anchored prolene sutures cooper’s ligament, pectineus fascia overlying inner surface inferior pubic ramus. Four months post-operatively, she has made excellent recovery no currently. Conclusions In OH precluding repair, range have been described (use autogenous peritoneal fold, muscle, round ovary, uterine fundus, omental plugs, biological mesh). believe, cover defect, flap viable option giving tension free robust especially in patients gangrenous local contamination.
منابع مشابه
Strangulated obturator hernia.
To cite: Gupta R, Singh H, Kang M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207071 DESCRIPTION A frail 60-year-old woman presented with a 5-day history of pain in the abdomen, constipation, vomiting and abdominal distension. There was no history of surgery or tuberculosis. On examination, the abdomen was distended and non-tender. The hernial site...
متن کاملStrangulated obturator hernia - an unusual presentation of intestinal obstruction.
An 81-year-old Caucasian emaciated female presented with 3 days history of colicky abdominal pain nausea, projectile vomiting and abdominal distension. A pre-operative diagnosis of mechanical bowel obstruction was made. The absence of characteristic clinical signs in this thin elderly woman with a small bowel obstruction failed to provide a pre-operative diagnosis. She underwent a midline lapar...
متن کاملLaparoscopic repair of strangulated Morgagni hernia
A 73 year old man presented with vomiting and pain due to a strangulated Morgagni hernia containing a gastric volvulus. Laparoscopic operation allowed reduction of the contents, excision of necrotic omentum and the sac, with mesh closure of the large defect. A brief review of the condition is presented along with discussion of the technique used.
متن کاملObturator Hernia: Laparoscopic Diagnosis and Repair
OBJECTIVE 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. METHODS AND PROCEDURES A 35 year old woman presented with lower abdominal pain,...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab259.278