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.

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Strangulated obturator hernia.

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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